harm food lnLeracLlons and lab values l have found helpful complled from nurslng sLudenLs wllllng Lo

share Lhelr lnfo

Meds
rednlsone S/L
lmuran S/L
Amlnosallcyllc acld (aser)
yrazlnamlde (ZA)
LLhambuLol (MyanmbuLol)
8lfampln (8lfadln)
lsonlazld (lnP nydrazld)
nasal uecongesLanLs
AnLlhlsLamlnes
8ronchodllaLors (names)
AnLlemeLlcs (8eglan when Lo glve 30 mln before meals and aL bedLlme)
roLon ump lnhlblLors (names and acLlon)
PlsLamlne 2 8ecepLor AnLagonlsLs (names acLlon wheLher or noL lLs affecLed by food cauLlons)
AnLaclds (when Lo Lake)
Cral Pypoglycemlc Meds
ClucocorLlcolds (S/L cauLlons names)
MlneralocorLlcolds (lnLervenLlons)
losamax
1hyrold meds
AnLlLhyrold meds
8aclofen
AldacLone
ulureLlcs
LlLhlum
Calclum Channel 8lockers
ulgoxln
lnsullns
lLocln
1lclld
1heophylllne
uesferal
Peparln and Coumadln
ZolofL (lnLeracLlon w/ SL!ohns WorL)
Clozarll (causes agranulocyLosls)
Food & Drug Interactions

Take with food

Ceftin - Cardene - Biaxin - Keflex - Demadex - Augmentin - Ceclor - Ticlid

Take 15 minutes before food

!rilosec - !ropulsid

Take on an empty stomach

(1 hour before or 2 hours after food)
!revacid - Zithromax - Carafate - Ampicillin

ay take with or without food

ffexor - !rozac(avoid alcohol) - !amelor(limit caffeine)

Take with food - Avoid aIcohoI

anax - Zoloft - !axil - Restoril - Desyrel - Buspar - Klonopin - Flagyl

Take with food - Avoid aIcohoI - Limit caffeine

Ativan - Valium - lavil

Take on empty stomach - Avoid aIcohoI

sordil - Monoket - !rocanbid - Sorbitrate - Nitroglycerin - !ronestyl - mdur - Quinidine

Sulfate - smo

Gastrointestinal Medications

Axid - take with food. Avoid alcohol, limit caffeine, may need a bland diet.

Tagamet - take with food. Avoid alcohol, limit caffeine, may need a bland diet. Take iron
supplement separately by 2 hours.

antac/Pepcid - may take with or without food. Avoid alcohol. limit caffeine, may need a
bland diet.

ntibiotics
%ake the following on an empty stomach 1 hour before or 2 hours after food.

Ioxin/Noroxin- take with 8 ounces of water. Drink plenty of fluids.

TetracycIine - do not take milk, dairy products, iron or calcium supplements, antacids or
mineral supplements within 1 hour before or 2 hours after taking this medication. Take with
8 ounces of water.

PeniciIIin- avoid taking with citrus juices or carbonated beverages. For best results take
with 8 ounces of water.

Take the following with food especially if stomach is easily upset.

rythromycin - limit caffeine.

ipro- limit caffeine and drink plenty of fluids. Take antacids, magnesium, iron, calcium or
zinc supplements separate by 2 hours.

$eptra/Bactrim- drink plenty of fluids. Avoid high doses of vitamin C.

ntihypertensives
(high blood pressure medication)
%ake the following on an empty stomach.

apoten - decrease sodium, decrease calorie diet may be recomended. Avoid salt
substitutes that contain potassium, caution with potassium supplements. Take calcium or
magnesium supplements separate by 2 hours. Maintain adequate fluid intake.

Procardia - take with decreased fat meal to prevent flushing. Do not take with orange,
grapefruit or other citrus fruit juices. A low salt diet may be recommended. Do not take
calcium supplement within 3 hours of taking this medication. Avoid alcohol.

ardizem - a low sodium, low calorie diet may be recommended.

ydrochoIorothiazide - diuretic potassium depleting. May need to decrease sodium,
decrease calorie, increase potassium, increase magnesium. Avoid natural licorice. Limit
alcohol. Caution with calcium supplements.

Triamterene - diuretic, potassium sparing. Avoid high potassium foods, potassium
supplements, salts substitutes that contain potassium. A decreased sodium, decreased
calorie diet may be recommended. Avoid natural licorice.

aIan (VerapamiI/Isoptin)- decrease sodium, decrease calorie diet may be recommended.
Limit caffeine. Caution with calcium and/or vitamin D supplements - hypercalcemia
decreases effectiveness.

Take the following with food or on empty stomach:

Vasotec/estriI/AccupriI - avoid salt and salty foods. Avoid salt substitutes that contain
potassium. Caution with potassium supplements. Avoid alcohol.

AtenoIoI/etoproIoI (Tenormin, Lopressor, ToproI XL) - a decreased sodium,
decreased calorie diet may be recommended. Avoid natural licorice.

ytrin/ardura - a decreased sodium, decreased calorie diet may be recommended. Avoid
natural licorice. Caution with alcohol.

ntihyperlipidemics
%hese medications are prescribed to lower blood lipid (cholesterol) levels. A low cholesterol,
low fat diet may be recommended. Avoid alcohol.

PravachoI - take on an empty stomach 1 hour before or 2 hours after foods.

evacor/Lopid - take with food.

ocor/LescoI - may take with or without food.

ardiovascular

Lanoxin - take this medication 1 hour before breakfast. Avoid high fiber foods such as
bran, bran cereals or bran muffins for breakfast, but it is acceptable to eat high-fiber foods
later in the day. Avoid natural licorice.
Miscellaneous ardiac Medications

"uinidine ("uinagIute, Duraguin, "uinidex) - take this medication 1 hour before or 2
hours after food. Take with 8 ounces of water. Do not drink more than 1 or 2 glasses of
citrus juice while on this medication. Caution with potassium supplements.

Take the following with food:

LozoI - a low sodium, low calorie, high potassium, high magnesium diet may be
recommended. Avoid natural licorice. Limit alcohol.

decrin - a high potassium, high magnesium diet may be recommended. Liberal sodium
diet for most patients. Limit alcohol.

TrentaI- a low cholesteral, low calorie diet may be recommended. Limit caffeine.

Bumex/Lasix/ydrodiuriI- a low salt, high potassium diet may be recommended. Avoid
natural licorice and alcohol.

Miscellaneous Medications

TheophyIIine - this medication will not work well if you eat more protein than usual. Try to
eat the same protein foods each day. Avoid charcoal-broiled foods. Avoid caffeine. For Theo-
24 only take with a high fat meal or snack.

onoamine Oxidase Inhibitors (Parnate, NardiI, arpIan) - avoid foods high in
tyramine. f you eat foods high in tyramine while on this medication it can cause nausea,
vomiting, high blood pressure and headaches. Avoid alcohol and limit caffeine.

OraI ypogIycemics (Diabinese, GIucotroI, Diabeta, icronase) - take with food and
avoid alcohol. Compliance with a diabetic diet is important.

oumadin (anticoaguIant) - avoid excessive amounts of foods that are high in vitamin K.
Do not drink herbal teas or green teas while taking this medication. Because of the varied
effects that food can have on this medication, maintain a well balanced diet with a
consistent intake of vitamin K. Avoid alcohol.

oods High In Tyramine

Aged cheese - Caffeine - !ickled Herring - Aged Meat - Chicken Liver - Raisins - Anchovies -
Chocolate - Red Wine - Bananas - Cola Drinks - Salami - Beef Liver - ggplant - Sausage -
Beer - Figs - Sour Cream - Bologna - Mushrooms - Yeast xtract - Broad Beans - !epperoni
- Soy Sauce - Yogurt

oods High In Potassium

Apricots - Cantelope - Honeydew - !rune Juice - Asparagus - Carrots - Milk - !umpkin -

Artichokes - Celery - Mushrooms - Raisins - Avocado - Chocolate - Oranges - Spinach -
Bananas - Dates - Orange Juice - Squash - Bran Flakes - Dried Beans - !arsnips - Tomatoes
- Broccoli - Dried Fruit - !otatoes - Tomato Juice - Brussel Sprouts - Figs - !runes - V-8
Juice - Yams

oods High In Vitamin K

Beef Liver - Green Tea - Brussel Sprouts - Cauliflower - Tomatoes - Soybeans/Soybean Oil -
Green Leafy Vegetables
especially Broccoli, Cabbage, Kale, Lettuce & Turnips

oods that ontain affeine

Coffe - Tea - Chocolate - Dark Sodas - Mountain Dew

SRUM GASTRONTSTNAL STUDS
!rotein: 6.0 - 8.0 g/L
Albumin: 3.4 to 5 g/dL - binds protein decrease in malnutrition
Alkaline phosphatase: 4.5 to 13 King-Armstrong units/dL
ncrease as osteophoris marker
Ammonia: 35 to 65 ug/dL
Amylase: 50 - 150 - increase pancreatitis
Lipase: 10 - 140 U/L - increase in pancreatitis
Bilirubin: direct: <1.0 mg/dL increase jaundice

Uric acid: 2.5 - 8 ng/dL
Transferrin: > 100 for !rotein test

Lipids: 400 - 800 mg/dL no contraceptive may increase level
Cholesterol: 140 to 200 mg/dL
LDL: <130 mg/dL
HDL: 30 to 70 mg/dL
Triglycerides: <200 mg/dL

THYROD STUDS
Thyroid -stimulating hormone (thyrotropin; THS): 0.2 to 5.4 ug/dL
Triiodothyronine (T3): 80 to 230 ng/dL
Thyroxine (T4): 5.0 to 12.0 ug/dL
Thyroxine free (FT3) : 0.8 to 2.4 ng/dL


RNAL FUNCTON TST
Creatinine: 0.6 - 1.3 mg/dL increase level indicates decrease GFR
Blood urea nitrogen (BUN): 7 - 20 mg/dL
Urine specific gravity: 1.016 - 1.022 increase in SADH; decrease in diabetes insipidus
Creatinine Clearance: 100-120
Glumerular Filt Rate: 125 ml

M MARKRS
CK-MB: 5%
Normal CK is 25-175 U/L
Troponin T >0.1 to 0.2 ng/mL = M
Troponin value: normal (<0.6 ng/mL)

COAGULATON STUDS
Activated partial thromboplastin time(A!TT): 20 - 35 seconds
- heparin 1.5 - 2.5 seconds
!rothrombin time(!T): male: 10 - 12 seconds
nternational Normalized Ratio(NR): 2.0 - 3.0 for standard Coumadin therapy

Bleeding time: 2.5 to 8 minutes
Clotting time: 8 - 15 minutes
!latelet count: 150,000 to 400,000 cells/Ul
Fibrinogen: 180 - 400 mg/dl

RYTROCYTS STUDS
Blood volume: 5000mL
Red blood cell (RBC): male: 4.5 to 6.2 million/uL
Hemoglobin- 14 - 17
Hematocrit: male: 42% - 52% (increased in hemoconcentration, fluid loss and dehydration)
Serum ron: 65-175
rytrocyte sedimentation rate(SR): 0 - 30 mm/hr increase in
nflammation Dx Hodgkin (RedStenberg cells)-painless lympnode

!henylalanine Level: <2 mg/dL
!KU: >25 mg/dL
White blood cell (WBC): 4500 to 11,000


WHT BLOOD CLL DFFRNTAL
Neutrophils 56% or 18000 - 7800/uL
Lymphocytes 34% or 1000 - 4800/uL
Monocytes 4% or 0 - 800/uL
Bands 3% or 0 - 700/uL
osinophils 2.7% or 0 - 450/uL
Basophils 0.3% or 0 - 200/uL

CD4: 500-1600 cells
Viral Load < 400 (without ADS)

!RSSURS
Spinal pressure: 70 to 200mmH2O
Normal serum osmolality: 285 - 295 mOsmlkgH2O increase in dehydration;
Decrease in over hydration

Central venous pressure: 4 to 10 cmH2O (increased in cardiac overload; decreased in
dehydration)
!ressure within the right atrium: 2 to 7 mmHg
Left Atrial !ressure: normal (1 to 10 mm Hg)
!ulmonary capillary Artery pressure: 5 to 20 mmhg
!ulmonary artery pressure: systolic: 16 to 30 mmHg
Diastolic: 0 to 7 mmHg
Normal cardiac output : 4 to 8 L/min
CSF pressure: 5 - 15
CSF protein: 15 - 45 mg/dL increase in Guillain-Barre syndrome

OTHRS
Normal sweat chloride: <40 mq/L
scalp pH: 7.26 and above
Safe Suction Range: normal [nfant] 50-95 mm Hg
[Child] 95-115 mm Hg
[Adult]100-120 mm Hg)


!R nterval: normal (0.12-0.20 seconds) QRS measurements: normal (0.04 to 0.10 second)