Betsy A. is a 72-year-old woman who was recently hospitalized after having a mild stroke

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Betsy A. is a 72-year-old woman who was recently hospitalized after having

a mild stroke. She has been discharged from the hospital on warfarin—a blood thinning

medication—and has been advised to continue her usual diet at home. Betsy’s doctor

also wants her to continue her other medications, which include a diuretic medication, a

low-dose daily aspirin, and pravastatin—her cholesterol medication.

Betsy and her husband consume a varied diet. Betsy’s husband often barbecues fish,

poultry, and meat on their outdoor grill. They eat fresh oranges or grapefruit most

mornings and have a mixed green salad with dinner several nights a week. Betsy

begins to wonder if her new medication will require her to make any changes in her diet.

Based on information in Chapter 3 and other research, what are some potential

drug-drug or drug-food interactions Betsy may encounter with the addition of

warfarin to her medication regimen?

Which foods in Betsy’s usual diet have the greatest potential to interfere with the

therapeutic effect of her new medication? Explain why this is important for Betsy

to understand.

Why is it important for Betsy to adhere to her doctor’s advice to maintain her

current diet in regards to taking warfarin?

How might Betsy’s nutritional status be affected by her diuretic medication?

Explain how she can use this information to make daily food choices.

Based on her current medication regimen, should Betsy stop eating grapefruit?

Why or why not?

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