nur NUR 1172 NUTRITIONAL PRINCIPLES 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 Education regarding food allergies Emergency treatment for severe allergic response nur 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 nur 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 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 nur 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
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