1
Module 6
Chapter 18: Drug –Nutrient Interactions
Older adults at risk – more meds, dexterity decreased, chronic illness
Education regarding food allergies
Emergency treatment for severe allergic response – how to communicate with
staff in restaurants, how to ask the right questions, how to read food labels.
Epipen: keep on person at all times, after use need to go to hosp. because effect of
allergen lasts longer than epipen.
Staying safe e.g.: accidental ingestion, avoiding
Assessing for food allergies – ask, skin test, history
Define food allergy vs. food intolerance – food allergy is life threatening (peanuts, soy,
eggs) food intolerance – gluten, milk (lactose)
Effects of food on Drug Absorption (p. 412)
m
er as
Increased drug absorption
co
1. Nutrients vit. C enhances iron, grapefruit juice enhances the absorption
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of some meds.
o.
Decreased drug absorption
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2. Aspirin – take on an empty stomach with large glass of cold water.
ou urc
Food will delay absorption.
Herb and drug interaction – may need medication and not just herbs
Drugs that may stimulate the appetite – steroids, antidepressants, antianxiety
o
Mineral depletion - **Diuretics lead to decreased K
aC s
First pass mechanism (p. 408) – EBP: any drug that body views as toxin, goes through
vi y re
the liver and gets rid of it. Grapefruit juice blocks this.
Module 7
ed d
ar stu
Chapter 20 Gastrointestinal Diseases
Celiac disease
is
Gluten free foods/diet - avoid wheat, rye, and barley
Nutrition – acute or inflammatory bowel disease (p. 468) – enteral diet (uses GI tract to
Th
deliver food ..tube feeding) or parenteral/ TPN (via vein)
Causes of peptic ulcer – h. pylori and NSAIDs
Gastroesophageal reflux disease (GERD) – very common, H2 inhibitors(Pepcid), antacid
sh
Discharge instructions to prevent episodes – frequent small meals, avoid tight
fitting clothing, don’t lay down after eating, and elevate bed with wedge or
blocks.
Signs and symptoms – heart burn, burning in chest, SOB, sour taste
Constipation
04/24/2016
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