You are caring for a patient with both cardiovascular risk of MI and a history of a GI bleed from an ulcer.What would be the most effective plan of treatment for this patient?

Question

Quizplus · Accepted Answer

Aspirin is recommended for patients at high risk for cardiovascular events like MI, but it can also increase the risk of GI bleeding, especially in patients with a history of ulcer. Adding a proton pump inhibitor like esomeprazole can reduce the risk of GI bleeding in patients taking aspirin. Clopidogrel can also be an alternative to aspirin for cardiovascular protection, but it has a lower risk of GI bleeding compared to aspirin. Therefore, the best option for this patient would be to take aspirin 81mg daily with esomeprazole 20mg daily.

You Are Caring for a Patient with Both Cardiovascular Risk