Nursing Diagnoses in Psychiatric Nursing Care Plans and Psychotropic Medications

● ● ● ● ● dermal patch:chocolate, colas, coffee, tea, sour cream, smoked and pro-cessed meats, chicken or beef liver, soy sauce, pickled herring, yogurt, raisins, caviar, broad beans, cold remedies, or diet pills. To do so could cause a life-threatening hypertensive crisis.the-counter medications) without the physician’s approval Follow the correct procedure for applying the selegiline trans-Do not consume other medications (including over-● ● These drugs potentiate the effects of each other.● ● ● Do not consume the following foods or medications while Avoid smoking while receiving tricyclic therapy. Smoking increases the metabolism of tricyclics, requiring an adjust-ment in dosage to achieve the therapeutic effect.taking MAOIs: aged cheese, wine (especially Chianti), beer, Do not drink alcohol while taking antidepressant therapy. skin, after removing and discarding old patch.direct sunlight).If patch falls off, apply new patch to a new site and resume previous schedule.Apply to dry, intact skin on upper torso, upper thigh, or outer surface of upper arm.Wash hands thoroughly after applying the patch.Apply approximately same time each day to new spot on Avoid exposing application site to direct heat (e.g., heating pads, electric blankets, heat lamps, hot tub, or prolonged Antidepressants ●^445
2506_Ch26_417-446.indd 1445 2506 Ch 26 417 - 446 .indd ● 1 ● ● 44 (Wellbutrin) is missed, unless advised to do so by the physi-cian. Taking bupropion in divided doses will decrease the risk of seizures and other adverse effects.sive crisis.Be aware of possible risks of taking antidepressants during contain substances that, in combination with antidepressant pregnancy. Safe use during pregnancy and lactation has not been fully established. These drugs are believed to readily cross the placental barrier; if so, the fetus could experience adverse effects of the drug. Inform the physician immediately if pregnancy occurs, is suspected, or is planned.while receiving antidepressant therapy. Many medications Notify physician immediately if inappropriate or prolonged penile erections occur while taking trazodone. If the erection persists longer than 1 hour, seek emergency department treat-ment. This condition is rare but has occurred in some men who have taken trazodone. If measures are not instituted im-mediately, impotence can result.medication, could precipitate a life-threatening hyperten-Do not “double up” on medication if a dose of bupropion 5 10/1/10 9:39:27 AM 10 / 1 / 10 9 : 39 : 27 AM