Peptic ulcer, gastric ulcer, and duodenal ulcer

JH, a 48 year old patient, complains of a gnawing, aching pain in the abdominal area that usually occurs several hours after eating. He says that over-the-counter antiacids helps somewhat but the pain has recently intensified. Diagnostic test indicates that he has a duodenal ulcer.

  1. Differentiate between peptic ulcer, gastric ulcer, and duodenal ulcer. explain your answer
  2. What are the predisposing factors related to peptic ulcer? What additional do you need from JH
  3. What non-pharmocologic measures can you suggest to alleviate symptoms related to peptic ulcer?

The health care provider prescribed aluminum hydroxide and magnesium hydroxide 20 mL to be taken 2 hours after meals and ranitidine 150 mg twice a day. The dose of magnesium hydroxide and aluminum hydroxyde with simethicome is to be taken either 1 hour before or 1 hour after the ranitidine

  1. JS ask the nurse the purpose for magnesium hydroxide and aluminum hydroxide with ranitidine. What is the nurse best response
  2. Why does the health care provider suggest that the patient take take ranitidine with meals? Why should magnesium hydroxide, aluminum hydroxide, and ranitidine not be taken together? Explain.
  3. In what ways is are ranitinine and cimetidine the same, and how they differ?

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