NSG 6005 Week 6 Discussion.docx - Discussion 1 1 What would you prescribe initially According to the several international guidelines the first-line

NSG 6005 Week 6 Discussion.docx - Discussion 1 1 What would...

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Discussion 1 1. What would you prescribe initially? According to the several international guidelines, the first-line therapy for treating H. pylori infection consists of a proton pump inhibitor (PPI) or ranitidine bismuth citrate, with any two antibiotics among amoxicillin, clarithromycin and metronidazole (Suzuki, Nishizawa & Hibi, 2010). I would also choose Protonix for this patient. 2. How long would you prescribe these medications? It would be recommended for this patient that they take these medications for 10—14 days and I would also recommend a follow up after 4 weeks to ensure that the infection is gone. 3. What other possible meds could you prescribe to assist with the side effects from the medications prescribed? All of the medications mentioned previously all have GI side effects including diarrhea being the main culprit from the antibiotics, nausea and vomiting. I would start off by prescribing Zofran 4 mg SL PRN Q6H and also Imodium 4 mg PO initially, and then 2 mg PO after each unformed stool (RxList, 2018). I would also educate the patient on the
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