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MAOIs can cause _________ so monitor blood pressure and HR for
orthostatic changes. -ANSWER-orthostatic hypotension
_______ crisis can occur with MAOIs when there is an intake of dietary
tyramine (aged foods, cheeses, fava beans, wine, avocado) -ANSWER-
hypertensive
When taking ________ avoid taking OTC decongestants and cold
remedies. -ANSWER-MAOIs
This class of medications is used PRN for anxiety, but also for ETOH
withdrawal, seizures, and as an adjunct for surgery/procedure -
ANSWER-benzodiazepines
ETOH withdrawal: _________ used for acute withdrawal, __________
used for long-term maintenance -ANSWER-chlordiazepoxide (Librium)
disulfiram (Antabuse)
Teaching for disulfiram? -ANSWER-*avoid all sources of ETOH*,
including mouthwashes, aftershave, Nyquil, vanilla extract (which
,seems a little OTT; as if a teaspoon of vanilla divided between 24
cookies and baked is going to do anything, but whatever: so saith ATI)
*will continue to make you feel like hell for a couple weeks* after
d/c'ing, so don't think you can skip your dose that day to go party that
night, you're going to have to *plan ahead* to fall off the wagon
Advise the client to take _________________ at bedtime to minimize
daytime sleepiness and to promote sleep. -ANSWER-tricyclic
antidepressants (amitripyline/Elavil)
With ________________ give no more than 1 week supply of
medication to client who are acutely ill due to the high risk of lethality
with overdose. -ANSWER-tricyclic antidepressants (Amitripyline)
With tricyclic antidepressants (Amitripyline) monitor clients who have a
seizure disorder because the seizure _____________ is decreased. -
ANSWER-threshold
Clients will have an __________ appetite with tricyclic antidepressants
(amitripyline). Instruct the clients to weight weekly and encourage
good nutrition/exercise. -ANSWER-increased
The use of TCAs with alcohol, benzodizepines, opioids, and
_____________ can result in additive CNS depression. -ANSWER-
antihistamines
, SSRIs are a first line treatment for __________. -ANSWER-depression
don't mix benzos with... -ANSWER-- other CNS depressants like ETOH
(can kill you)
- CNS stimulants like caffeine (kinda cancel each other out)
benzos that can be administered IV -ANSWER-diazepam (Valium)
lorazepam (Ativan)
benzo with short duration? -ANSWER-lorazepam (Ativan)
benzo with highest risk of addiction? -ANSWER-alprazolam (Xanax)
antidote to benzos -ANSWER-flumazenil (Romazicon)
benzo withdrawal s/s: -ANSWER-CNS excitation, from withdrawing the
CNS depressant:
- anxiety
- insomnia
- diaphoresis
- tremor
- lightheaded