Which food items should the nurse advise a patient taking a ...

[savannahhooper]

Which food items should the nurse advise a patient taking a monoamine oxidase inhibitor (MAOI) to avoid?
 
  1. Orange juice, cottage cheese, and turkey
  2. Spring water, ice cream, and salmon
  3. Chocolate, wine, and fava beans
  4. Spinach, rice, and venison

Question 2

The physician orders dopamine (Intropin) intravenous (IV) for the patient in shock. What is a priority plan of the nurse with regard to administration of this drug?
 
  1. Have phentolamine (Regitine) available in the room.
  2. Have naltrexone (Revia) available in the room.
  3. Have epinephrine (Adrenalin) available in the room.
  4. Have flumazenil (Romazicon) available in the room.

[ynlevi]

Answer to Question 1

3
Rationale 1: Orange juice, cottage cheese, and turkey are not contraindicated.
Rationale 2: Spring water, ice cream, and salmon are not contraindicated.
Rationale 3: Chocolate, wine, and fava beans are high in tyramine, which can cause severe hypertension in patients taking MAOIs.
Rationale 4: Spinach, rice, and venison are not contraindicated.
Global Rationale: Chocolate, wine, and fava beans are high in tyramine, which can cause severe hypertension in patients taking MAOIs.

Answer to Question 2

1
Rationale 1: Extravasation of dopamine (Intropin) can cause severe, localized vasoconstriction resulting in tissue necrosis. The antidote for this is phentolamine (Regitine).
Rationale 2: Naltrexone (Revia) is used for opiate overdose.
Rationale 3: Epinephrine is used for anaphylaxis.
Rationale 4: Flumazenil (Romazicon) is used for benzodiazepine overdose.
Global Rationale: Extravasation of dopamine (Intropin) can cause severe, localized vasoconstriction resulting in tissue necrosis. The antidote for this is phentolamine (Regitine). Epinephrine is used for anaphylaxis. Naltrexone (Revia) is used for opiate overdose. Flumazenil (Romazicon) is used for benzodiazepine overdose.

[savannahhooper]

Great answer, keep it coming

[debra928]

Gracias!