Outcome Evaluation37

• Obtain a baseline CBC. Recheck the CBC if the patient exhibits alarm signs or symptoms.

• Obtain a baseline serum creatinine measurement. Calculate the estimated creatinine clearance and adjust the dose ofH2RAs and sucralfate according to package insert recommendations.

• Obtain a history of symptoms from the patient. Monitor for improvements in pain symptoms (e.g., epigastric or abdominal pain) daily.

• Monitor the patient for the development of any alarm signs and symptoms.

• Recommend a follow-up visit if signs and symptoms worsen at any time or do not improve within the defined treatment period.

• Assess for potential drug interactions whenever there is a change in the patient's medications, particularly for patients taking cimetidine, omeprazole, or sucralfate.

• Educate the patient on the importance of adhering to the H. pylori-eradication regimen.

• Monitor the patient for complications related to antibiotic therapy (e.g., diarrhea or oral thrush) during and after completion ofH. pylori eradication therapy.

• Recommend follow-up care if the patient's signs and symptoms do not improve after completion of H. pylori-eradication therapy.

Abbreviations Introduced in This Chapter

HnRA H ista ml rie2 - re cp pto r antagonist

MALT Miicosa-aasoriated lymphoid tissue

NSAID Nonsteroidal anti-inflammatory d rug

SR M D Stress-related mucosal d a mage

' Self-assessment questions and answers are available at ht-tp://www. mhpharmacotherapy. com/pp.html.

Reducing Blood Pressure Naturally

Reducing Blood Pressure Naturally

Do You Suffer From High Blood Pressure? Do You Feel Like This Silent Killer Might Be Stalking You? Have you been diagnosed or pre-hypertension and hypertension? Then JOIN THE CROWD Nearly 1 in 3 adults in the United States suffer from High Blood Pressure and only 1 in 3 adults are actually aware that they have it.

Get My Free Ebook

Post a comment