A nurse teaching a patient about a tyramine-restricted diet would ...

[Charlie]

A nurse teaching a patient about a tyramine-restricted diet would approve which meal?
 
  a. Mashed potatoes, ground beef patty, corn, green beans, apple pie
  b. Avocado salad, ham, creamed potatoes, asparagus, chocolate cake
  c. Macaroni and cheese, hot dogs, banana bread, caffeinated coffee
  d. Noodles with cheddar cheese sauce, smoked sausage, lettuce salad, yeast rolls

Question 2

A patient with depression is receiving imipramine (Tofranil) 200 mg every night at bedtime. Which assessment finding would prompt the nurse to collaborate with the health care provider regarding potentially hazardous side effects of this drug?
 
  a. Dry mouth
  b. Blurred vision
  c. Nasal congestion
  d. Urinary retention

[blazinlyss]

Answer to Question 1

ANS: A
The correct answer describes a meal that contains little tyramine. Vegetables and fruits contain little or no tyramine, and fresh ground beef and apple pie should be safe. The other meals contain various amounts of tyramine-rich foods or foods that contain vasopressors: avocados, ripe bananas (banana bread), sausages and hot dogs, smoked meat (ham), cheddar cheese, yeast, caffeine drinks, and chocolate.

Answer to Question 2

ANS: D
All the side effects mentioned are the result of the anticholinergic effects of the drug. Only urinary retention and severe constipation warrant immediate medical attention. Dry mouth, blurred vision, and nasal congestion may be less troublesome as therapy continues.

[Charlie]

Thank you

[blazinlyss]

Happy to help you