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Module 6
Chapter 18: Drug –Nutrient Interactions
Review the FDA pamphlets provided in the announcements.
Older adults at risk
o Older adults make up 14% of the current population
o By the year 2050, it will be 20% to 22%
o Older adults take more prescription and nonprescription medications
than younger adults
o Likely to be taking drugs for long periods of time for chronic disease
o Drugs are likely to be more toxic
o Respond to drugs with greater variability
o Handle drugs less efficiently
o Nutritional status is more likely to be deficient
o Increased errors in self-care due to mental confusion, illness, and lack of
drug information
o Stimulated or suppressed appetite
o Decreased intestinal absorption
o Increased renal secretion
o Competition or displacement of nutrients for protein carrier sites
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Education regarding food allergies
Emergency treatment for severe allergic response
o Epinephrine is the only medication that can reverse the symptoms of
anaphylaxis.
Staying safe
o Strict avoidance of problem foods
o Working with your doctor to develop a Food Allergy & Anaphylaxis
Emergency Care Plan
o Wearing emergency medical identification (e.g., bracelet, other jewelry)
at all times
o Carrying your medication wherever you go
o Taking your medication at the first sign of a reaction
o Getting to an emergency room for follow-up treatment if you have a
severe reaction
o Resources especially for nurses commonly used in the clinical setting:
Davis's Drug Guide for Nurses
Lippincott's Nursing Drug Guide
Nurses Pocket Drug Guide
Accidental ingestion
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o When people have food allergies, they must be prepared to treat an
unintentional exposure. For example, these include:
Wearing a medical alert bracelet or necklace
Carrying an auto-injector device containing epinephrine
(adrenaline)
Seeking medical help immediately
Avoiding
o Alcohol can potentiate the effects of some medications while decreasing
the effects of others; it can also cause bleeding in the intestinal tract
when taken with specific medications
o Medications that help the body retain potassium should not be taken
with potassium rich foods such as white beans or bananas.
o Foods high in fiber can decrease the effects of some medications as well;
those medications should be taken on an empty stomach.
o Grapefruit juice can increase the effectiveness of the "statin" drugs used
for cholesterol therefore increasing the chances for side effects as well.
Assessing for food allergies
Skin--itching, hives, redness, swelling
Nose--sneezing, stuffy nose, runny nose
Mouth--itching, swelling of lips or tongue
Throat--itching, tightness, difficulty swallowing, hoarseness