An older woman presents to the emergency department with an…
An older woman presents to the emergency department with an altered mental status and complains of diffuse pain. Her medical history includes hypertension, hyperlipidemia, alcoholic liver cirrhosis, and a gastrointestinal (GI) bleed one year ago. The emergency department intern reports that he wants to avoid opioids because of her altered mental status and avoid acetaminophen because of her liver disease. Moreover, the intern is concerned about using nonsteroidal anti-inflammatory drugs (NSAIDs) because of the patient’s history of GI bleeding. Which NSAIDs should be avoided in this patient?
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