Acute kidney and GI damage due to NSAIDs and/or acetaminophen overuse

Patient overused both pain medications due to his high level of pain. Instead of following your prescribed doses and instructions he used NSAIDs, 3 or 4 times per day, along with 3gr acetaminophen which is more than the recommended dose for pain management. Patient presented with signs of acute kidney injury and gi bleeding and was rushed to the ER. He was hospitalized and treated until the bleeding was under control and his liver function was restored and he was in good shape to be released. He left the hospital with strict recommendation on hos to use his medications and a referral to return to you for further instruction on a follow up visit.