N105: Essentials of Nursing Care - Health Differences

Essentials of Nursing Study Guide

©2017 Achieve Test Prep Page 23 of 160 occurs when a food, or one of its components, interferes with the way a drug is used in the body. Foods can interfere with the stages of drug action in many ways. The most common effect is for foods to interfere with drug absorption. This can make a drug less effective because less gets into the blood and to the site of action. Nutrients, or other chemicals in foods, can affect how a drug is used in the body. With some drugs, it's important to avoid taking food and medication together because the food can make the drug less effective. For other drugs, it may be good to take the drug with food to prevent stomach irritation. Alcohol can affect many medications. Patients should always check with their pharmacist about possible effects of alcohol use with medication. Grapefruit juice contains a compound that increases the absorption of some drugs. This can enhance their effects. This compound is not found in other citrus juices. It's best for patients to not take medications with grapefruit juice. Patients should not drink grapefruit juice at least two hours from when they take their medication. Grapefruit juice should be discussed with a pharmacist or doctor before use in diet due to possible contraindications with certain medications. Drug/nutrient interactions It is also possible for drugs to interfere with a person's nutritional status. Some drugs interfere with the absorption of a nutrient. Other drugs affect the body's use and/or excretion of nutrients, especially vitamins and minerals. If less of a nutrient is available to the body because of these effects, this may lead to a nutrient deficiency. Sometimes drugs affect nutritional status by increasing or decreasing appetite. This affects the amount of food (and nutrients) consumed. • Metabolism is all biochemical and physiologic processes by which the body grows and maintains itself. • Basal Metabolic Rate is the rate at which the body metabolizes food to maintain the energy requirements of a person who is awake and at rest. • Ideal body weight (IBW) is the optimal weight recommended for optimal health. • Body Mass Index (BMI) is a more reliable indicator of healthy weight; a normal BMI is 20-25. • Caloric Value is the amount of energy that nutrients or foods supply to the body. 1.4 Medications Food/Drug Interactions Medications, both prescription and over-the-counter, are used every day to treat acute and chronic illness. Medications can help people live healthy lives for a prolonged period. Although medicines are prescribed often, it is important to realize that they must still be used with caution. Foods, and the nutrients they contain can interact with medications we take. This can cause unwanted effects. A food/drug interaction

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