Your patient is a 67 year old female who has very painful arthritis. She says that she has good days and bad days, but today she had to take double the usual does of ibuprofen and naproxen. She stat that, in addition to the pain, her stomach is hurting, she is very lightheaded and she vomited a coffee-brown substance just before calling the ambulance. What could be the problem with this woman?
a. She is allergic to NSAIDs
b. She may have aggravated her ulcer
c. She is having an acute myocardial infarction
d. The combined effect of the two medicines lowered her blood pressure
Answer: B