Nutrition Presentation2012

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Learn about the risks of medications and nutritional status and how to prevent them...

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Nutrition Presentation2012

  1. 1. DRUGS AS A CAUSE OF MALNUTRITION• Mario Wilmath
  2. 2. OBJECTIVES• At risk populations• Drugs Classes• Treatment• Prevention
  3. 3. Physical Interactions• Ca, mg, fe, al, or Zn can lower oral abs of levothyroxine and quinolones.• Tube feedings decrease phyntoin and levothyroxine
  4. 4. Appropriate Prescribing• Established efficacy• Compatible safety• Low risk of drug interactions• Low risk of nutrient interactions• Known adjustments for disease states or organ function• Convenient• Affordable
  5. 5. Decreased Drug Effect• Warfarin and vitamin-K containing foods
  6. 6. Decreased Oral Intake or Appetite• Meds that alter taste (dysgeusia) – Captopril – Clarithromycin• Decrease saliva production (xerostomia)• Antihistamines, antidepressants, antipsychotics, clonidine, diuretics• Make mastication and swallowing dificult
  7. 7. Nutrient-Drug Interactions• Constipation• Inadequate or excessive fluid intake• Need for a tyramine-restriction.• It is advisable to refrain from blaming the medication for side effects while working to minimize the consequences.
  8. 8. • Choosing a Nutrient-rich Diet• Antioxidants• B-Vitamins and Folate• Calcium Vitamin D• Fiber• Iron Magnesium Potassium
  9. 9. SUMMARY
  10. 10. REFERENCES• Reuben DB, Herr KA, Pacala JT, et al. Geriatrics at your fingertips: 2009, 11th Editiion. New York: The American Geriatrics Society; 2009.

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