Question

su nuon status, In a summary of 1-2 paragraphs each, describe how the side effects can be reversed using nutrition interventions. Complete the following case studies using Chapter 19 for assistance Drugs, Herbs, and GI Upset Mr. Rosen is a 67-year-old retired businessman with a history of gastric ulcers and ulcerative colitis. He reports eating a well-balanced "mostly vegetarian" diet. He states he dislikes taking prescription drugs and prefers natural herbal remedies because they are "not toxic like drugs." He takes a variety of herbal preparations to relieve his gastrointestinal problems although he admits he has not experienced any significant relief in symptoms. His doctor prescribed a proton pump inhibitor and sulfsalazine, which he states he takes "reluctantly." He now reports frequent spells of nausea and occasional diarrhea and notes that he feels more tired than usual. 1. Based on his limited history, what are some common causes that may explain Mr. Rosen's nausea and diarrhea? 2. How would you caution him regarding the use of herbal products! 3. What potential nutritional problems do you suspect based on Mr. Rosen's current medications and his report of feeling more tired than usual? 4. To whom would you advise this patient to report any problems or side effects he may experience with his medication? MacBook Air 110

Answer 1

TUIS WYS. IA) Based on the limited history the most common causes for Mr. Rosens haurea and diarrhoea are sulfasalazine (since sulfa- -salazine often causes nausea, diarrhoea (GI upset), oligosper mia as major side efeitss, some of ppos may also cause diarrhoea. Pt is using herbal produits some herbal products Mostly caure nausea, vomiting, diarrhoea, skin reactions as Most common side effects). 2A) There is rigorous quality control for each pill you are taking regarding qua therapeutic window, dosage providing the tonicity cota, dish and benefit data to physician whether to use a drug. Such data is unrecognized and under reported for herbal medi unes. Herbal Medicines can cause unwanted side effects, herbal drug interactions, tonicity, A) Direct side effects and tonicity of herbal therapy. Egi- Nausea, diarrhoea, shin reactions, hepatotoxiuty. Most of the herbs cause cognitive behavioral changes B) Indirect side effects and toniuty. often may lead to misdiagnosis by phycluan and consequent delay in effective conventional treatment.

Drugherb iutevations: Pharma co dynamie interactions acting at same receptor lite may serult in synergistie cow) antagonii tic effect. cow Rurwako- Kinetic interactions may affect the absorption, distribution, metaboliem, crevetion of a drug. Sometimes may produce Over dosage, under dosage of conventional drug. 33A) vit. Bir nutritional defiuency was commonly been with vegeterian population along with that proton pump inhibitors eppot) on long term use may cause vit B12 deficiency. Because of which he is feeling tired. sulfasalazine may even cause anorexia (but risk of this was less). YA) When patient had any problems (or) sideffects due to medi- -cations first patient should consult physiwan immediately for immediate action next should inform pharmaust (on) nurse to fill online suspected adverse drug reaction" form and they submit to highes authorities for drug survillence Cor) post marketing surullence &puns). р ок