Your 68-year-old patient with coronary arteriosclerotic heart disease (status post-coronary artery bypass graft surgery)has a history of gastric ulcers.Which nonsteroidal antiinflammatory drug (NSAID)could you safely recommend he use at home?

Question

Your 68-year-old patient with coronary arteriosclerotic heart disease (status post-coronary artery bypass graft surgery)has a history of gastric ulcers.Which nonsteroidal antiinflammatory drug (NSAID)could you safely recommend he use at home?

Quizplus · Accepted Answer

Gastric irritation and ulceration are major problems with administering NSAIDs.Renal injury can result from prolonged use and high dosages of these medications.NSAIDs also inhibit platelet aggregation,and this compounds the problem of gastrointestinal bleeding.Acetaminophen (Tylenol),although a weak inhibitor of the cyclooxygenase system,has no significant antiinflammatory effects but is effective in relieving mild to moderate pain.It does not inhibit platelets or cause gastric ulcers.

Your 68-Year-Old Patient with Coronary Arteriosclerotic Heart Disease (Status Post-Coronary