The nurse notes that a patient with type 2 diabetes mellitus is not prescribed aspirin 81 mg as recommended for the prevention of cardiovascular complications
What information in the patient's health history should the nurse use to understand why this medication has not been prescribed for the patient?
Select all that apply.
1. Patient receives a vitamin B12 injection every month.
2. Patient admitted for gastrointestinal bleeding 3 months ago.
3. Patient prescribed warfarin (Coumadin) 2.5 mg by mouth every day.
4. Patient treated for chronic alcoholism and liver cirrhosis the past year.
5. Patient develops a rash and urticaria when taking medications with sulfa.
Correct Answer: 2, 3, 4
Cardiovascular disease is the most common cause of morbidity and mortality in people with diabetes mellitus. Aspirin therapy is contraindicated for patients with recent gastrointestinal bleeding, anticoagulation therapy, or active liver disease. It is not contraindicated in patients receiving vitamin B12 injections or those with an allergy to sulfa medications.
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