When providing dietary teaching for a patient taking monoamine oxidase inhibitors MAOIs the nurse should teach the patient to avoid which food?
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Institutional UsersAccess through Ovid® Not a Subscriber?Buy Subscribe Request Permissions You can read the full text of this article if you: Log In Access through Ovid Drug Watch Aschenbrenner, Diane S. MS, RN Diane S. Aschenbrenner is an assistant professor at Notre Dame of Maryland University in Baltimore. She also coordinates Drug Watch: [email protected]. AJN, American Journal of Nursing: July 2017 - Volume 117 - Issue 7 - p 22,23 doi: 10.1097/01.NAJ.0000520942.08729.31
AbstractAntidepressants are used to alter the concentration of neurotransmitters in the brain that is responsible for the depressed affect (feelings in response to the environment, whether positive and pleasant or negative and unpleasant). These drugs counteract the effects of neurotransmitter deficiencies in three ways:
Antidepressants are classified into three groups: tricyclic antidepressants (TCAs), monoamine oxidase inhibitors (MAOIs), and selective serotonin reuptake inhibitors (SSRIs).
Antidepressants: Generic and Brand NamesHere is a table of commonly encountered diuretic agents, their generic names, and brand names:
Manifestation Spotlight: DepressionDepressionis an affective disorder characterized by a persistent and intense feeling of sadness much more severe and longer lasting than the suspected precipitating event. There may be no external causes.
Tricyclic Antidepressants (TCAs)
Therapeutic Action
Indications
Children
Adults
Older adults
Pharmacokinetics
Contraindications and Cautions
Adverse Effects
Interactions
Nursing ConsiderationsHere are important nursing considerations when administering this drug: Nursing AssessmentThese are the important things the nurse should include in conducting assessment, history taking, and examination:
Nursing DiagnosesHere are some of the nursing diagnoses that can be formulated in the use of this drug for therapy:
Implementation with RationaleThese are vital nursing interventions done in patients who are taking TCAs:
EvaluationHere are aspects of care that should be evaluated to determine effectiveness of drug therapy:
Monoamine Oxidase Inhibitors (MAOIs)
Therapeutic Action
Indications
Children
Adults
Older adults
Pharmacokinetics
Contraindications and Cautions
Adverse Effects
Interactions
Nursing ConsiderationsHere are important nursing considerations when administering this drug: Nursing AssessmentThese are the important things the nurse should include in conducting assessment, history taking, and examination:
Nursing DiagnosesHere are some of the nursing diagnoses that can be formulated in the use of this drug for therapy:
Implementation with RationaleThese are vital nursing interventions done in patients who are taking MAOIs:
EvaluationHere are aspects of care that should be evaluated to determine effectiveness of drug therapy:
Selective Serotonin Reuptake Inhibitors (SSRIs)
Therapeutic Action
Indications
Children
Adults
Older adults
Pharmacokinetics
Contraindications and Cautions
Adverse Effects
Interactions
Nursing ConsiderationsHere are important nursing considerations when administering this drug: Nursing AssessmentThese are the important things the nurse should include in conducting assessment, history taking, and examination:
Nursing DiagnosesHere are some of the nursing diagnoses that can be formulated in the use of this drug for therapy:
Implementation with RationaleThese are vital nursing interventions done in patients who are taking SSRIs:
EvaluationHere are aspects of care that should be evaluated to determine effectiveness of drug therapy:
Practice Quiz: AntidepressantsPractice questions from our nursing test bank about antidepressants. Can you get a perfect score? 1. Nortriptyline and protriptyline are classified as what class of TCAs? A. Amines 2. The following are true about depression, except: A. External causes always play a part in assessment and diagnosis. 3. Which TCA is also approved for use in patients with OCD? A. Imipramine 4. A combination of MAOIs and TCAs will precipitate which drug adverse effect? A. Severe hypertensive crisis 5. What is the treatment for hypertensive crisis caused by MAOI? A. Phentolamine 6. How many weeks will the full therapeutic effects of SSRIs be realized? A. 2 weeks Answers and Rationale 1. Answer: B. Secondary amines. Examples of amines include amoxapine, amitriptyline, clomipramine, doxepin, and clozapine. Example of tetracyclic include maprotiline. 2. Answer: A. External causes always play a part in assessment and diagnosis. Depression can have no external causes. 3. Answer: B. Clomipramine. 4. Answer: B. Severe hyperpyretic crisis. It is accompanied by convulsions, hypertensive episodes, and even death. 5. Answer: A. Phentolamine 6. Answer: B. 4 weeks. Therefore, it is important for nurses to instruct patients that effects of the drug will not be instantly feel and experienced. Recommended ResourcesRecommended resources and reference books. Disclosure: Includes Amazon affiliate links.
See AlsoHere are other nursing pharmacology study guides:
Gastrointestinal System Drugs
Respiratory System Drugs
Endocrine System Drugs
Autonomic Nervous System Drugs
Immune System Drugs
Chemotherapeutic Agents
Reproductive System Drugs
Nervous System Drugs
Cardiovascular System Drugs
References and SourcesReferences and sources for this pharmacology guide for Antidepressants:
Which food would a patient taking a MAOI be advised to avoid?PRODUCE: Overripe fruits, dried fruit, avocados, banana peels (not bananas themselves), fava beans, Italian green beans, edamame, snow peas, and canned figs. ALCOHOL: Certain fermented alcoholic beverages including red wines and Chianti, vermouth, and sherry.
What is contraindicated with MAOIs?Contraindications to the use of MAOIs include severe liver and kidney impairment, severe or frequent headache, uncontrolled hypertension, cardiovascular diseases, and cerebrovascular diseases.
How does tyramine affect MAOI?Patients that take MAOIs and consume tyramine-containing foods or drinks will exhibit high serum tyramine level. [13][14] A high level of tyramine can cause a sudden increase in blood pressure, called the tyramine pressor response.
What are the side effects of MAOIs?Common side effects of MAOIs may include:. Sleepiness, or trouble getting to sleep.. Dizziness, lightheadedness, and fainting.. Dry mouth, blurred vision, and appetite changes.. High or low blood pressure.. Changes in heart rate and rhythm.. |