Reference no: EM133530231

Case Study: After reading chapter 17 in your text, read and discuss the following case. Cindy is a 70 year old woman who was recently hospitalized after having a stroke. She presents in your clinic. She has been prescribed warfarin -- a blood thinning medication and is on a regular diet. Cindy's doctor wants her to continue her other medications, which include a diuretic medication, a low dose daily aspirin, and pravastatin -- her cholesterol medication. When at home, Cindy and her husband consume a varied diet. Their dinners typically include a protein source, starch, and a vegetable. They eat oranges or grapefruits most mornings and have a mixed green salad with dinner several nights a week. Cindy is curious and asks you if her new medication will require her to make any changes in her diet when she goes home.

Question A. Based on information from highlight 17, what are some potential drug-drug or drug-nutrient interactions Cindy may encounter with the addition of warfarin to her medication regimen?

Question B. Which foods in Cindy's at-home diet have the greatest potential to interfere with the therapeutic effect of her new medication. Why is it important for Cindy to understand?

Question C. Why is it important for Cindy to adhere to her doctor's advice to maintain her current diet in regards to taking warfarin?

Question D. How might Cindy's nutritional status be affected by her diuretic medication? Explain how she can use this information to make daily food choices.

Question E. Based on her current medication regimen, should Cindy stop eating grapefruit? Why or why not?

Question F. What is a good course of action for Cindy to follow if she has any questions about the potential interactions of her medications?