?

Mrs. Z is a 76-year-old female who consults an internal medicine physician because she has been depressed. She also gets chronic migraines. The physician takes a full history from Mrs. Z, which reveals that several medications have been prescribed to her by a variety of specialists. It seems that each specialist neglected to pay attention to the medications that Mrs. Z was prescribed by her other doctors and the potential drug–nutrient interactions. She also takes some daily health supplements.

The physician's notes are as follows:
Current Medication/Supplements       Reason for Prescribing/Taking
St. John's wort ...............................     she read in a magazine that this helps with depression
Slow Fe (iron supplement) ............     for prior anemia
Warfarin .........................................    history of embolic stroke
Omeprazole ...................................     history of peptic ulcer
TUMS ............................................     chronic upset stomach
Amoxicillin ...................................      recent respiratory infection
Doxazosin .....................................      incontinence
Allegra ..........................................      seasonal allergies
Lipitor ...........................................      high cholesterol
Vitamin E ......................................     she heard it was good for heart disease

Typical Daily Diet
Breakfast: eggs, bacon, ½ grapefruit, fresh orange juice
Lunch: hotdogs, sausages, or pepperoni sub, sliced tomatoes, cold tea
Dinner: cooked spinach, chicken breast, mashed potatoes, hot tea
 
Because of the connection between increased levels of tyramine and migraine headaches, what dietary changes should Mrs. Z make?

A. eliminate grapefruit
B. eliminate deli (cured) meats
C. eliminate orange juice
D. eliminate eggs
E. eliminate fresh tomatoes


Answer: B

Nutritional Science

You might also like to view...

Which feature is present in vegetarians who regularly eat meals based on tofu, vegetables, and whole grains?

a. They show less heart disease but more colon cancer than omnivores b. They show evidence of marginal protein intake compared with omnivores c. They have lower blood pressure levels than those eating meat d. They have lower sodium intakes but blood pressure is similar to those eating red meat

Nutritional Science

Risk factors for osteoporosis include

A. overweight and obesity. B. amenorrhea. C. high levels of physical activity. D. African American race.

Nutritional Science

Which of the following is a feature of vitamin B 12 bioavailability?

A. Synthetic B12 in supplement form is highly utilizable B. Fermented soy products are optimal sources of the vitamin C. Yeast consumed by vegans is a good source of the vitamin D. Sea algae such as spirulina contain vitamin B12 that is about 50% available

Nutritional Science

For individuals with normal blood glucose control, the release of insulin by the pancreas after a meal will cause blood sugar levels to

What will be an ideal response?

Nutritional Science