A health care professional is caring for a patient who is about to begin amitriptyline
therapy to treat major depression. The health care professional
... [Show More] should include which of
the following instructions when talking with the patient about taking the drug? - ANSOcular stinging
MY ANSWER
Betaxolol, a beta-adrenergic blocker, can cause short-term, mild stinging and burning of
the eye. Patients should expect transient eye discomfort, but should not rub their eyes.
Severe or continuous irritation should be reported
A patient is admitted to the ER with spasms of the face and back. He has recently
begun taking chlorpromazine to treat schizophrenia. Which of the following adverse
reactions should the health care professional suspect?
Stevens-Johnson syndrome
Cholinergic crisis
Acute dystonia
Serotonin syndrome - ANS-Acute dystonia
MY ANSWER
Acute dystonia can develop during the first few days of treatment with chlorpromazine.
Manifestations include muscle spasms of the back, neck, face, and tongue. Treatment
includes immediate administration of an anticholinergic drug, such as diphenhydramine.
Stevens-Johnson syndrome
Stevens-Johnson syndrome is a sign of toxicity of some anticonvulsants. Early
indications include fever, rash, and blisters. Chlorpromazine is unlikely to cause
Stevens-Johnson syndrome.
Cholinergic crisis
Manifestations of a cholinergic crisis include nausea, vomiting, diaphoresis, and
bradycardia. Acute toxicity to cholinesterase inhibitors, such as neostigmine, can cause
these effects. Treatment with atropine is indicated. Chlorpromazine is unlikely to cause
a cholinergic crisis.
Acute dystonia
MY ANSWER
Acute dystonia can develop during the first few days of treatment with chlorpromazine.
Manifestations include muscle spasms of the back, neck, face, and tongue. Treatment
includes immediate administration of an anticholinergic drug, such as diphenhydramine.
Serotonin syndrome
Indications of serotonin syndrome include agitation, confusion, and anxiety. This
syndrome can result from taking serotonergic drugs, such as fluoxetine (Prozac), and
from some drug interactions. Treatment involves discontinuing the drug.
A health care professional is caring for a patient who is about to begin taking
echothiophate (Phospholine Iodide) to treat glaucoma. The health care professional
should monitor the patient for the development of which of the following adverse
effects?... [Show Less]