Question

WOOD alopram is complaining of agitation and insomnia, what questions ante do que C. "What is the nearest pharmacy to your D. "Yes, I will let the doctor know 22. Patient newly started on SSRI citalopram is com should the nurse ask the patient? (Select all that apply) A. "Do you drink any coffee or sodas?" B. "What time do you take medication?" C. "Did you stop taking your medication for any reason?" D. 'Are you on any antihistamines?" patient newly started on paroxetine is complaining of abdominal pain, anxiety and sweating Nurse finds hyperreflexia, fine tremors and t 101 on assessment. What is a likely cause o symptoms? A. Serotonin syndrome B. Hypertensive crisis C. Hypernatremia D. Suicidal ideation 24. A patient on escitalopram is complaining of bleeding gums when brushing teeth. What lab value should the nurse check? A. CBC B. CMP C. PT/INR D. BUN 25. A patient on MAOI selegiline is complaining of severe headache and nausea, he states "I think tha red wine I had earlier was bad". What is the best respond by the nurse? A. Immediately check blood pressure B. Ask how much wine was consumed C. Ask if any cheese was eaten D. Remind about food interactions 26. A patient on MAOI has difficulty maintaining low tyramine diet and wants to switch to SSRI sertraline. What is the best respond by the nurse? A. "you will have to wait for at least 2 weeks before you can start a new medication" B. "switching is not recommended": C. "low tyramine diet is healthy for you" D. "you don't have to eat caviar everyday" 26. Choose foods high in tyramine and foods to be avoided with MAOI (select all that apply): A. cheddar cheese B. Goat cheese C. Lunch meat D. Corned beef E. White wine F. Red wine G. Raisins H. Grapes togril sitoloogiliw noilo

Answer 1

1) Depression is most common disorder found world wide. It is a feeling of hopelessness and sadness. Antidepressant is a first line of treatment, SSRI is the group of drugs that inhibits serotonin re uptake and thus blocking muscarinic effects. Drinking coffee results in sleep disturbances and resulting in palpitations,feeling sick,restlessness and insomnia. Skipping medication will also results in sleep deprivation.

2) Serotonin syndrome occurs secondary to the intake of SSRI drugs used to treat depression. It occurs if there is high levels of serotonin accumulated in the blood. The most common signs and symptoms of serotonin syndrome includes anxiety, tremor,agitation. Anti depressants also increases the risk for suicidal tendency close supervision is needed for the patients taking in anti depressants.

3) Prothrombin time and International normalized ratio is used to monitor the efficacy of anticoagulants. It helps to check the ability to produce blood clots. It is mainly to assess the functions of proteins called coagulation factors.

4) Monoamine oxidase inhibitors are a group of drugs helps to inhibit the activity of monoamine oxidase enzymes that is responsible to cause phobic and panic disorders. Tyramine is made of amino acids which is essential to maintain blood pressure. The best response from the nurse is to advise patient about the serious effects of taking in tyramine rich diet. As it may results in serious complications like hypertensive crisis.

5) All the given foods are high in tyramine and should be avoided while taking in MOAI drugs.