Which patients are candidates for MAOIs? (Select all that apply.) ...

[ssal]

Which patients are candidates for MAOIs? (Select all that apply.)
 
  a. Patients who have not responded to SSRIs and TCAs
  b. Patients with atypical depression
  c. Patients with bulimia nervosa
  d. Patients with hypotension
  e. Patients with postpartum depression

Question 2

A neonate is born to a patient who reports taking venlafaxine (Effexor XR). The nurse caring for the infant will observe the infant for:
 
  a. irritability, tremor, and respiratory distress.
  b. poor appetite and disturbed sleeping patterns.
  c. serotonin syndrome.
  d. sustained mydriasis.

[Joc]

Answer to Question 1

ANS: A, B, C
Patients who have not responded to SSRIs or TCAs, patients with atypical depression, and patients with bulimia nervosa are candidates for MAOIs. MAOIs contribute to hypotension and therefore are contraindicated in patients with hypotension. MAOIs are not recommended for the treatment of postpartum depression.

Answer to Question 2

ANS: A
Use of venlafaxine late in pregnancy can result in a neonatal withdrawal syndrome characterized by irritability, abnormal crying, tremor, respiratory distress, and possibly seizures. Poor appetite and disturbed sleep are not part of this withdrawal syndrome. Serotonin syndrome is not likely. Sustained mydriasis occurs as an adverse effect in patients taking the drug.

[ssal]

Thank you!

[Joc]

Always glad to help...