Mr. Johnson, a 78-year-old male, is admitted to the medical-surgical unit with a history of peptic ulcer disease (PUD) and complains of recurrent epigas

Week 8 Discussion

Mr. Johnson, a 78-year-old male, is admitted to the medical-surgical unit with a history of peptic ulcer disease (PUD) and complains of recurrent epigastric pain and discomfort. He has a medical history of hypertension, type 2 diabetes, and chronic kidney disease. Mr. Johnson is currently taking antihypertensive medications, oral hypoglycemics, and a diuretic. His recent endoscopy confirms the presence of a duodenal ulcer.

Upon admission, the healthcare team prescribes Mr. Johnson a proton pump inhibitor (PPI) and an H2 receptor antagonist (H2RA) to manage his peptic ulcer and reduce gastric acid secretion. The nursing team is responsible for coordinating and administering the antiulcer medications while considering Mr. Johnson's age, comorbidities, and concurrent medications.

1. Polypharmacy Management:
   
   • Given Mr. Johnson's multiple chronic conditions and medications, how would you address concerns related to polypharmacy and ensure the safe administration of antiulcer medications?
2. Patient Education:
   
   • What key information would you provide to Mr. Johnson regarding the purpose of the prescribed PPI and H2RA, potential side effects, and the importance of medication adherence?
3. Monitoring for Adverse Effects:
   
   • What specific adverse effects would you monitor for while Mr. Johnson is on antiulcer medications, and how would you adjust the nursing care plan accordingly?

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