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Part II Nutrition Assessment, Consequences, and Implications

TABLE 17.4 Common Biochemical Abnormalities Associated with Medications Prescribed for Enterally Fed Patients

Abnormality

Serum Glucose Hyperglycemia

Hypoglycemia

Serum Potassium Hyperkalemia

Hypokalemia

Serum Sodium Hypernatremia

Hyponatremia

Serum Magnesium Hypermagnesemia

Hypomagnesemia

Serum Phosphorus Hyperphosphatemia

Hypophosphatemia Calcium losses

Serum Lipids Hypertriglyceridemia aClassified as a pharmacological incompatibility.

Source: Reprinted with permission from Rombeau JL, Roandelli RH, eds. Clinical Nutrition: Enteral and Tube Feeding. 4th ed. Philadelphia, PA: WB Saunders; 2004, with permission from Elsevier.

Cyclosporine,a corticosteroids, thiouracil, chlorpromazine Medications

Morphine, phenytoin, thiazides,a phenothiazine,a

probenecid,a

Acetaminophen,a lol, barbiturates

Spironolactone,a MAOIs,a corticosteroids,a clonidine,a sulfonamides,a estrogen,a

chemotherapeutic agents phenylbutazone,a

proprano- penicillin G potassium

Ampicillin, carbenicillin, piperacillin, ticarcillin, amphotericin,a azidesa

furosemide,a diuretics,a laxativesa

Penicillin G sodium, medications with large volume, normal saline

Laxatives,a diuretics,a

diuretics,a probenecid,a thiazides, furosemidea

Magnesium-containing antacids in patients with renal dysfunction Amphotericin, cyclosporine, thiazides,a

furosemide,a

floxacin, probenecid, carbenicillin, pentamidine Chemotherapeutic agent-induced cell lysis,a

administration with medications Sucralfate, corticosteroids, furosemide,a

Furosemide,a indomethacin

triamterene,a excess glucose thiazidea probenecid, corticosteroids, amphotericin, potassium-sparing thi-

cisplatin, cipro-