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Author Question: The nurse is caring for a patient with major depressive disorder (MDD) who is taking DHEA in ... (Read 78 times)

lidoalex

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on: Jul 19, 2018
The nurse is caring for a patient with major depressive disorder (MDD) who is taking DHEA in addition to antidepressant medications. Which potential adverse effect will the nurse be most concerned about the patient developing?
 
  1. Suicidal ideation
  2. Hypertension
  3. Mania
  4. Hypoglycemia

Question 2

The nurse is caring for a patient with depression. When obtaining the patient's current medication list, the nurse notes that the patient is taking St. John's wort. What additional class of medication would most concern the nurse if the patient reports
 
  taking a medication in that class?
  1. MAOI
  2. SSRI
  3. Antipsychotics
  4. Barbiturate


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Jadwiga9

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Reply #1 on: Jul 19, 2018
Answer to Question 1

Answer: 3
Explanation: In patients with mood disorders, large doses of DHEA may increase the risk of mania. DHEA has not been linked to suicidal ideation. Hypertension and hypoglycemia are not adverse effects of DHEA.

Answer to Question 2

Answer: 2
Explanation: The nurse would be most concerned about the patient taking an SSRI in conjunction with St. John's wort. Serotonin syndrome, a potentially life-threatening condition, may occur if St. John's wort is used concomitantly with SSRIs. MAOIs, antipsychotics, and barbiturates do not cause potentially life-threatening conditions if taken concomitantly with SSRIs.


lidoalex

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Reply 2 on: Jul 19, 2018
Thanks for the timely response, appreciate it

Joy Chen

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  • Posts: 354
Reply 3 on: Yesterday
Gracias!

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