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Author Question: A patient who has been diagnosed with a major depression disorder has been ordered to take doxepin ... (Read 27 times)

KWilfred

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on: Jul 23, 2018
A patient who has been diagnosed with a major depression disorder has been ordered to take doxepin (Sinequan). The nurse will contact the provider if the patient's medical history reveals a history of which condition?
 
  a. Asthma
  b. Glaucoma
  c. Hypertension
  d. Hypoglycemia

Question 2

A patient has been taking sertraline (Zoloft) 20 mg/mL oral concentrate, 1 mL daily for several weeks and reports being unable to sleep well. What will the nurse do next?
 
  a. Ask the patient what time of day the medication is taken.
  b. Counsel the patient to take the medication at bedtime.
  c. Recommend asking the provider about weekly dosing.
  d. Suggest that the patient request a lower dose.


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EAN94

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Antidepressants, such as doxepin, that cause anticholinergic-like symptoms are contraindicated if the patient has glaucoma.

Answer to Question 2

ANS: A
Selective serotonin reuptake inhibitors (SSRIs) cause nervousness and insomnia. Patients can minimize these effects by taking the drug in the morning. The nurse should assess this with this patient. Taking the medication at bedtime will only increase the insomnia. Requesting a lower dose or changing to weekly dosing are not recommended.


KWilfred

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Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

upturnedfurball

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Reply 3 on: Yesterday
Wow, this really help

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