What mnemonic helps memorize the contraindications for non-steroidal anti-inflammatory drugs (NSAIDs)?

• A. Asthma, Hypertension, Gastrointestinal issues, Kidney problems
• B. Heart failure, Renal impairment, Gastritis, Asthma
• C. Hypotension, Ulcers, Liver disease, Asthma
• D. Kidney problems, Diabetes, Asthma, Pregnancy

Answer: (A)

The mnemonic "Asthma, Hypertension, Gastrointestinal issues, Kidney problems" effectively captures significant contraindications for non-steroidal anti-inflammatory drugs (NSAIDs). Understanding these conditions is crucial, as NSAIDs can exacerbate or complicate them.

Asthma is relevant because certain patients with asthma may experience bronchoconstriction as a reaction to NSAIDs. Hypertension is included since NSAIDs can lead to fluid retention and increase blood pressure, posing risks for patients already struggling with high blood pressure. Gastrointestinal issues are significant due to the risk of NSAIDs causing gastric ulcers or exacerbating existing gastrointestinal problems. Finally, kidney problems are critical, as NSAIDs can lead to acute kidney injury, especially in patients with pre-existing renal conditions.

While other options contain relevant contraindications or conditions, they do not encompass the complete spectrum of significant concerns associated with NSAID use as effectively as this mnemonic does. For example, while "Heart failure, Renal impairment, Gastritis, Asthma" refers to important conditions, it doesn't emphasize the broader gastrointestinal risk connected to NSAIDs and substitutes one for general hypertension, which is often a more pressing concern.