List all medications that Mr. Angelo is receiving. Identify the action of each medication and any drug-nutrient interactions that you should monitor
What will be an ideal response?
• Ascorbic acid – support of wound healing
• Chlorhexidine – oral hygiene protocol
• Famotidine tablet – stress ulcer prophylaxis
• Heparin injection – provided for DVT prophylaxis; interactions: maintain fixed vitamin K intake
• Insulin regular injection – treatment of hyperglycemia and underlying history of diabetes mellitus; interactions: be aware of potential for hypoglycemia
• Multivitamin tablet – support nutritional needs and wound healing
• Zinc sulfate – support nutritional needs and wound healing
• Methadone – pain management
• Oxandrolone – anabolic steroid used to reduce catabolism
• Senna tablet – used as bowel/ stool softener; interactions: can cause electrolyte disturbances
• Docusate oral liquid – used as bowel/ stool softener; interactions: can irritate throat, cause nausea, or abdominal cramping
• Silver sulfadiazine – used for topical treatment of burn wound
• Midazolam HCl (Versed) 100 mg in sodium chloride 0.9% 100 mL IV infusion, initiate infusion at 1 mg/hr – sedative; interactions: avoid grapefruit
• Hydromorphone (Dilaudid) – pain management
• Fentanyl (Sublimaze) – pain management
• Propofol (Diprivan) – sedative. Since propofol is in a 10% IV fat emulsion, need to monitor triglyceride level and lipid clearance and account for energy provided by this medication within nutrition intervention.
• Thiamin – prescribed due to history of regular alcohol ingestion for prevention of Wernicke's encephalopathy
• Folate – prescribed due to history of regular alcohol ingestion for prevention and treatment of potential deficiency
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