What are some common side effects of tricyclic antidepressants (TCAs)?
Diarrhea
Weight gain/loss
Bradycardia
Sexual dysfunction
Correct Answer : B,D
A. Diarrhea: TCAs cause anticholinergic effects, which more commonly lead to constipation rather than diarrhea.
B. Weight gain/loss: Weight gain is a common side effect of TCAs, though some clients may experience weight loss.
C. Bradycardia: TCAs are more likely to cause tachycardia, arrhythmias, and orthostatic hypotension, not bradycardia.
D. Sexual dysfunction: TCAs can cause sexual dysfunction, including decreased libido, erectile dysfunction, and anorgasmia.
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Related Questions
Correct Answer is C
Explanation
A. Ibuprofen (NSAID): Ibuprofen is a nonsteroidal anti-inflammatory drug (NSAID) that does not affect serotonin levels.
B. Acetaminophen (Antipyretic): Acetaminophen is used for fever and pain and does not impact serotonin metabolism.
C. Venlafaxine (SNRI): Serotonin-norepinephrine reuptake inhibitors (SNRIs) like venlafaxine increase serotonin levels and can contribute to serotonin syndrome, especially when combined with other serotonergic drugs.
D. Lisinopril (ACE inhibitor): Lisinopril is an angiotensin-converting enzyme (ACE) inhibitor used for hypertension and does not affect serotonin.
Correct Answer is C
Explanation
A. Breast cancer: Breast cancer itself does not cause metabolic acidosis. However, in rare cases, tumor lysis syndrome from aggressive cancer treatment can lead to metabolic acidosis due to increased release of intracellular acids.
B. Parathyroidectomy: Removal of the parathyroid glands can cause hypocalcemia, but it does not directly lead to metabolic acidosis.
C. Use of salicylates: Salicylate toxicity (aspirin overdose) can cause metabolic acidosis due to the accumulation of lactic acid and ketoacids.
D. Rhabdomyolysis: Rhabdomyolysis causes metabolic acidosis due to the breakdown of muscle tissue, leading to the release of myoglobin, potassium, and acids into the bloodstream.
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