The nurse should expect to administer which medication regimen to a patient with an ulcer that is H. pylori positive?
A) Proton pump inhibitors, clarithromycin, amoxicillin
B) Proton pump inhibitors, bismuth salts, metronidazole
C) H2 receptor antagonist, proton pump inhibitors, clarithromycin
D) H2 receptor antagonist, amoxicillin, clarithromycin
A) Proton pump inhibitors, clarithromycin, amoxicillin
Explanation: A) If the ulcer is H. pylori positive, the treatment of choice is H. pylori eradication with a combination of acid-inhibiting therapy for 10-14 days. Treatments may be either triple therapy (PPIs, clarithromycin, and amoxicillin or metronidazole) or quadruple therapy (PPIs, bismuth salts, tetracycline, and metronidazole), depending on the prevalence of antibiotic resistance in an area. H2-receptor antagonists are used to heal NSAID-induced ulcers.
B) If the ulcer is H. pylori positive, the treatment of choice is H. pylori eradication with a combination of acid-inhibiting therapy for 10-14 days. Treatments may be either triple therapy (PPIs, clarithromycin, and amoxicillin or metronidazole) or quadruple therapy (PPIs, bismuth salts, tetracycline, and metronidazole), depending on the prevalence of antibiotic resistance in an area. H2-receptor antagonists are used to heal NSAID-induced ulcers.
C) If the ulcer is H. pylori positive, the treatment of choice is H. pylori eradication with a combination of acid-inhibiting therapy for 10-14 days. Treatments may be either triple therapy (PPIs, clarithromycin, and amoxicillin or metronidazole) or quadruple therapy (PPIs, bismuth salts, tetracycline, and metronidazole), depending on the prevalence of antibiotic resistance in an area. H2-receptor antagonists are used to heal NSAID-induced ulcers.
D) If the ulcer is H. pylori positive, the treatment of choice is H. pylori eradication with a combination of acid-inhibiting therapy for 10-14 days. Treatments may be either triple therapy (PPIs, clarithromycin, and amoxicillin or metronidazole) or quadruple therapy (PPIs, bismuth salts, tetracycline, and metronidazole), depending on the prevalence of antibiotic resistance in an area. H2-receptor antagonists are used to heal NSAID-induced ulcers.
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