A patient is taking a monoamine oxidase inhibitor for depression. In planning care for this patient, the nurse knows that a hypertensive crisis may be possible and plans on having what drug on hand as an antidote?
Meperidine (Demerol)
Calcium channel blockers
Carbamazepine (Tegretol)
Dextromethorphan
The Correct Answer is B
A. Meperidine is contraindicated with monoamine oxidase inhibitors (MAOIs) and can lead to serotonin syndrome rather than being an antidote for hypertensive crisis.
B. Calcium channel blockers, such as nifedipine, are commonly used as antidotes for hypertensive crisis associated with MAOI use.
C. Carbamazepine is not indicated for the treatment of hypertensive crisis associated with MAOI use.
D. Dextromethorphan is contraindicated with MAOIs due to the risk of serotonin syndrome.
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Related Questions
Correct Answer is C
Explanation
A. ACE inhibitors primarily affect blood pressure and heart remodeling but do not directly decrease heart rate or contractility.
B. Vasodilators mainly lower blood pressure by expanding blood vessels and do not primarily affect heart rate or contractility.
C. Beta blockers decrease heart rate, contractility, and blood pressure, and are specifically used to improve survival after a heart attack by reducing the heart's workload and oxygen demand.
D. Diuretics primarily reduce blood pressure by decreasing blood volume but do not directly decrease heart rate or contractility.
Correct Answer is D
Explanation
A. "Noxium" is not a known medication for mood stabilization in bipolar disorder.
B. Valium and Librium are benzodiazepines commonly used for anxiety and are not typically used for mood stabilization in bipolar disorder.
D. Lithium is a mood stabilizer commonly used in the treatment of bipolar disorder to prevent or reduce the severity of manic and depressive episodes.
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