Mr. Jones is a retired 84 year-old farmer. He is still living in the farmhouse, but rents the farm land. He has an 8th grade education. He is recently widowed, living alone, and adjusting to managing his health care on his own since his wife passed away. One area of concern is his medication management since he is taking 10 different prescription medications plus his 6 nonprescription medications. Mr. Jones is currently taking:
Ferrous sulfate 240 mg daily for anemia
Protonix 20 mg daily for GERD
Tums 1-2 tabs PRN for GERD
Flomax 0.4 mg daily for BPH
Restoril 15 mg as needed for sleep
Aspirin 81 mg daily for his heart
Lasix 40 mg daily for HTN
KCl 10 mEq daily for hypokalemia
Lisinopril 20 mg daily for HTN
Metoprolol 100 mg BID for HTN
Digoxin 125 mcg daily for A. Fib
Coumadin 4 mg on M/W/F and 5 mg on all other days for A. Fib
Nitroglycerin 0.3 mg q5 minutes PRN for angina
Acetaminophen 325 mg PRN for pain
Ginkgo Biloba 2 capsules daily for memory
St. John’s wort 1 capsule daily for anxiety
Directions:
Do any of these medications interact with each other? If so, which?
What effects can caffeine, nicotine, alcohol, or other nutrients have on the specific medications that Mr. Jones is taking?
How can age-related changes affect his medication effectiveness?
What other information would you like to know to ensure medication safety?
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