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Exam (elaborations)

NR 568 Week 7 Quiz With Complete Solution

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NR 568 Week 7 Quiz With Complete Solution

Institution
NR 568
Course
NR 568

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Week 7 quiz guide
Your quiz this week will cover modules 6 and 7. Be sure to review the
following information in preparation:
-dietary restrictions in patients taking MAOIs
Avoid Tyramine food.
High Tyramine Content: Avocados, especially if overripe; fermented bean
curd; fermented soybean; soybean paste, Figs, especially if overripe;
bananas, in large amounts, Meats that are fermented, smoked, or otherwise
aged; spoiled meats; liver, unless very fresh, Fermented varieties: bologna,
pepperoni, salami, others, Dried or cured fish; fish that is fermented,
smoked, or otherwise aged; spoiled fish, Practically all cheeses, Yeast extract
(e.g., Marmite, Bovril), beers, Chianti wine, Protein dietary supplements;
soups (may contain protein extract); shrimp paste; soy sauce


Foods With Little or No Tyramine: fresh milk, meat, vege, most wine/beer,
nonfermented
-management of hypothyroidism in patients on Lithium
Goiter and hypothyroidism.
Lithium can reduce the incorporation of iodine into thyroid hormone and can
inhibit thyroid hormone secretion. With long-term use, the drug can cause
goiter (enlargement of the thyroid gland). Although usually benign, lithium-
induced goiter is sometimes associated with hypothyroidism. Treatment with
thyroid hormone (levothyroxine) or withdrawal of lithium will reverse both
goiter and hypothyroidism. Levels of thyroid hormones—triiodothyronine (T3)
and thyroxine (T4)—and levels of thyroid-stimulating hormone (TSH) should
be measured before giving lithium and annually thereafter.
-treatment of insomnia
Benzodiazepine like druugs ( Z- drugs)
-Zolpidem, Zaleplon, Ezopiclone
-Melatonin agonists OTC and Ramaelteon (prescriptioin)
-Sedating antidepressants: trazodone, amitriptyline, mirtazapine.
-treatment of anxiety
Benzodiazepines,
SSRIs: (General: )Escitalopram, Paroxetine



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Institution
NR 568
Course
NR 568

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Uploaded on
November 15, 2025
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