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A 64-year-old male patient, Mr TS, is to be prescribed aspirin therapy following an acute myocardial infarction. What questions should you ask Mr TS before starting treatment with aspirin?
A 64-year-old male patient, Mr TS, is to be prescribed aspirin therapy following an acute myocardial infarction. What questions should you ask Mr TS before starting treatment with
aspirin?
Mr TS should be asked if he has had aspirin before and, if so, whether he tolerated it. Caution is necessary in elderly patients, in those with uncontrolled hypertension and in patients taking other drugs that increase the risk of bleeding. Caution is also required in those with a previous history oRead more
Mr TS should be asked if he has had aspirin before and, if so, whether he tolerated it. Caution is necessary in elderly patients, in those with uncontrolled hypertension and in patients taking other drugs that increase the risk of bleeding.
Caution is also required in those with a previous history of peptic ulceration, and some manufacturers advise avoidance in such circumstances; active peptic ulceration is a definite contraindication. Other contraindications include severe hepatic impairment, severe renal failure, haemophilia and other bleeding disorders.
Aspirin may induce bronchospasm or angioedema in susceptible individuals, for example, in asthmatics, and caution should be exercised in these circumstances.
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