What priority teaching point does the nurse include in the teaching plan for a patient on a monoamine oxidase inhibitor (MAOI)? (Select all that apply.)
A) Take medication at bedtime.
B) Monitor blood pressure.
C) Do not take over-the-counter (OTC) drugs without talking to physician.
D) Report double vision right away
E) Reduce tyramine intake
B, C, E
Feedback:
MAOIs can cause drug–drug and drug–food interactions, which can precipitate cardiovascular effects that include orthostatic hypotension, arrhythmias, palpitations, angina, and the potentially fatal hypertensive crisis. Priority teaching points include monitoring blood pressure which will elevate with tyramine ingestion and the importance of not taking any OTC without physician or pharmacist consultation due to multiple drug–drug interactions. When taking an MAOI, you would not necessarily take the drug at bedtime or drink lots of fluid. Blurred, but not double, vision is an adverse effect of an MAOI.
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