A client is taking long-term corticosteroid therapy for adrenal insufficiency. Which medication would be recommended for the relief of minor aches and pains?
1. Ibuprofen (Motrin)
2. Ketorolac (Toradol)
3. Acetaminophen (Tylenol)
4. Aspirin (Bayer)
Correct Answer: 3
Rationale 1: This client is at risk for peptic ulcer disease. NSAIDs should be avoided.
Rationale 2: This client is at risk for peptic ulcer disease. NSAIDs should be avoided.
Rationale 3: Acetaminophen is an analgesic that will not inhibit the production of protective prostaglandins.
Rationale 4: This client is at risk for peptic ulcer disease. NSAIDs should be avoided.
Global Rationale: Prolonged corticosteroid use is associated with the development of peptic ulcers, especially when these drugs are combined with nonsteroidal anti-inflammatory drugs (NSAIDs). Ibuprofen, detorolac, and aspirin should be avoided. Acetaminophen is an analgesic that will not inhibit the production of protective prostaglandins.
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