Which assessment data poses the greatest risk for injury in a patient who abuses alcohol?
a. Takes a baby aspirin each morning
b. Uses over-the-counter antihistamines for seasonal allergies
c. Has been taking a tricyclic antidepressant for more than 2 years
d. Took a narcotic for 1 week to manage post–dental surgery pain
ANS: C
Tricyclic antidepressants are strictly contraindicated with alcohol consumption because of their potential effect on cardiac function. Although aspirin increases bleeding times and anti-histamines and narcotics increase sedation, the outcome of combining alcohol and these drugs is not as dangerous as that of the correct option.
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