Mr. Jones is a retired 84 year-old farmer.

Mr. Jones is a retired 84 year-old farmer. He is still living in the farmhouse, but rents the farm land. He has an 8^th 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:

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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?