Mr. Ima Hurtein, a 75-year-old Korean War veteran, recently had

Mr. Ima Hurtein, a 75-year-old Korean War veteran, recently had a fall while shoveling snow in his driveway. He is now experiencing a tremendous amount of hip pain. As his home health nurse, you advise him to go to urgent care, but he is stubborn and tells you he is fine. He asks you instead to go to the drug store to pick up a pain reliever for him. His medical history includes high blood pressure, congestive heart failure with leg swelling, and heartburn. He currently takes metoprolol 25 mg twice daily, Lasix 20 mg twice daily, lisinopril 5 mg daily, aspirin 81 mg daily, and OTC Tums (calcium carbonate) as needed for heartburn. 1. What are some of your concerns with Mr. Hurtein’s choice to self-medicate rather than go to the doctor? 2. Assuming Mr. Hurtein takes the analgesics as recommended on the OTC label, which OTC pain reliever from the drug store (Tylenol or ibuprofen) is preferred for him? Why? 3. It has been 2 weeks and Mr. Hurtein has taken ibuprofen 200 mg two tablets every 8 hours around the clock since the accident. He notices his heartburn is worsening, he has an upset stomach most days, and he is constipated. He has had to take his Tums more frequently. Is there another OTC product that may be better for his heartburn than Tums? Why?

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