NSG 6005 Week 5 Pharmacology Quiz

NSG 6005 Week 5 Pharmacology Quiz David is a thirty-four-year-old who is starting on paroxetine (Paxil) for depression. What does David need to be educated about regarding his medication? Paroxetine may cause intermittent diarrhea. He may experience sexual dysfunction beginning a month after he starts therapy. He may have constipation, and he should increase fluids and fiber. Paroxetine has a long half-life, so he may occasionally skip a dose. - ANSWER He may experience sexual dysfunction beginning a month after he starts therapy. A sixty-six-year-old male was prescribed phenelzine (Nardil) while in an acute psychiatric unit for recalcitrant depression. The nurse practitioner managing his primary healthcare needs to understand the following regarding phenelzine and other monoamine oxidase inhibitors (MAOIs): He should not be prescribed any serotonergic drug such as sumatriptan (Imitrex). MAOIs interact with many common foods, including yogurt, sour cream, and soy sauce. Symptoms of hypertensive crisis (headache, tachycardia, sweating, etc.) require immediate treatment. All the above options are correct. - ANSWER All the above options are correct. Dwayne was recently started on carbamazepine to treat seizures. He comes to see you, and you note that while his carbamazepine levels had been in the therapeutic range, they are now low. The possible cause for the low carbamazepine levels is: Dwayne hasn't been taking his carbamazepine because it causes insomnia. Carbamazepine auto-induces metabolism, leading to lower levels in spite of good compliance.