What are the possible drug-nutrient side effects from Mrs. ...

[Diane]

What are the possible drug-nutrient side effects from Mrs. Rodriguez's prescribed regimen? (See question 4.) Which drug-nutrient side effects are most pertinent to her current nutritional status?
 
  What will be an ideal response?

Question 2

COPD includes two distinct diagnoses. Outline the similarities and differences between emphysema and chronic bronchitis.
 
  What will be an ideal response?

[Jordin Calloway]

Answer to Question 1

 The most common side effects include significant gastrointestinal symptoms such as nausea, vomiting, and diarrhea.
 If Maria has difficulty eating due to nausea, vomiting, or anorexia, these side effects will be important to consider.
 Long-term use of the medications may certainly affect the nutrient status of Ca, Fe, and B12.
 The tablet form of bismuth subsalicylate should be taken at least 1 to 3 hours before or after tetracyclines; otherwise, it may decrease the effectiveness of the tetracycline.

Answer to Question 2

Similarities:
 Dyspnea
 Hypercapnea
 Increased risk of upper respiratory infections
 Likely to be caused by exposure to cigarette smoke and air pollution
Differences:
Chronic bronchitis Emphysema
Causes  Second-hand smoke  Alpha-1-antitrypsin deficiency
Primary pathology  Involves airways
 Excessive mucus production
 Productive cough  Involves alveoli
 Destruction of bronchioles
 Loss of elasticity due to hyperinflation
Signs/Symptoms  Long-term cough (sometimes brought on by cold weather, dampness, and things that irritate the lungs like fumes or smoke)
 Increased mucus production
 Frequent clearing of throat
 Edema and weight gain (often occur as side effect of medication)
 Cyanosis
 Clubbing
 Secondary polycythemia
 Cor pulmonale  Rapid breathing
 Wheezing
 Chronic cough, with or without sputum
 Decreased exercise tolerance
 Loss of appetite leading to weight loss
 Barrel chest
 May progress to respiratory failure
 Orthopnea
Physical assessment  Gurgles
 Wheezing
 Resonant to percussion  Diminished breath sounds
 Hyperresonant to percussion

[Diane]

Thanks

[Jordin Calloway]

Welcome