Mr. T is in a chemical dependency program for alcohol abuse. He has abused alcohol for about 25 years, but is now ready to stop because his wife recently died from complication from cirrhosis
When assessing his nutritional status, the nurse suggests supplements of: 1. Thiamine and folic acid.
2. Magnesium and iron.
3. Potassium and calcium.
4. Vitamin D.
1
Rationale: Clients abusing alcohol experience a decreased absorption of thiamine and folate and a urinary loss of magnesium. Iron can be affected by chelation with certain antibiotics. Changes in calcium and potassium excretion occur with the use of loop diuretics. Vitamin D status should be monitored in clients taking anticonvulsants such as phenytoin and valproic acid.
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