0:00
Hello.
00:02
So the question given here is saying that there is a 60 year old woman and she is complained of our weakness, right? so investigation showed that she has iron deficiency, right? so because she is having the iron deficiency, so she was prescribed a capsule that is a ferrous fumarid and that is 300 m .g twice daily, right? so what happens? she returned after one month with no improvement in symptoms because her hb level this was unchanged.
00:37
So on inquiry she revealed that she felt epigastric distress.
00:43
And after taking the iron capsule, she had started taking what? antacid tablets.
00:50
So these are the actually capsules and she started taking this.
00:53
So the question they are asking that what could be the possible reason here for her failure to respond to the oral iron medication.
01:02
What is the oral iron medication? here this is given that is capsule ferrous fumrate.
01:07
So what is what could be the possible reason for the failure of for this capsule.
01:12
So here let's understand this what happened here.
01:17
Here we can see that when the woman is taking word iron capsules.
01:22
So this capsules causes gastritis and to stop this for for the reason that is gastritis is there so she started taking antacids so what she has done she has taken iron capsule as well as antics simultaneously so this is the reason that failed to respond to the oral iron medication right so here what we get the possible reason here we got that she has taken iron capsule iron capsule along with here this is the iron capsule this is taken along with antacids right so this is the reason for the failure of oral iron medication now in the question they are asking that there is some another way that she she can take iron capsules as well as antacids but there is no failure for the oral iron medication so yes she just have to keep a difference of two to three hours two to three hours gap is needed here for the gap between the two tablets or the two capsules here we can say this much difference must be there between the two medicines so here because both of the medicines she has taken simultaneously so this is the reason that is a failure of the oral iron medication now let's move to the second part of the caution here it's saying that there is a 50 year old type 2 diabetes meletus patient and this is maintained on a tablet that is glibin chlamide.
03:07
This is we can say here this is a type of sulfonile urea and so he is taking daily twice daily, right? so he developed what toothache, right? so there is a toothache and for which he took a tablet that is aspirin.
03:24
Right.
03:25
And after taking this aspirin, he felt like.
03:27
Like he experienced anxiety, weakness, right? so we have to explain here in the first part we have to explain that about the symptoms that what could be the explanation for the symptoms like this anxiety and weakness.
03:43
What could be the explanation best explanation here? and here the second part is asking that which alternative analgesic should have taken because he has used what he has taken the tablet that is aspirin...