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NCLEX-RN · Question #666

A client's record from the ED indicates that she overdosed on phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor. Which diet would be the most appropriate at this time?

The correct answer is D. Tyramine-free. (A) There are no data to support the need for increased carbohydrates or decreased cholesterol (B) There is no data to support the need for increased protein or increased carbohydrates in the (C) There is no assessment or laboratory data indicating that sodium should be…

Physiological Integrity: Pharmacological and Parenteral Therapies

Question

A client's record from the ED indicates that she overdosed on phenelzine sulfate (Nardil), a monoamine oxidase (MAO) inhibitor. Which diet would be the most appropriate at this time?

Options

  • AHigh carbohydrate, low cholesterol
  • BHigh protein, high carbohydrate
  • C1 g sodium
  • DTyramine-free

How the community answered

(52 responses)
  • A
    2% (1)
  • B
    4% (2)
  • C
    2% (1)
  • D
    92% (48)

Explanation

(A) There are no data to support the need for increased carbohydrates or decreased cholesterol (B) There is no data to support the need for increased protein or increased carbohydrates in the (C) There is no assessment or laboratory data indicating that sodium should be restricted in the (D) Tyramine is an amino acid activated by MAO in the liver and intestinal wall. It is released as proteins are hydrolyzed through aging, pickling, smoking, or spoilage of foods. When MAO is inhibited, tyramine levels rise, stimulating the adrenergic system to release large amounts of norepinephrine, which can produce a hypertensive crisis.

Topics

#MAO inhibitor#tyramine-free diet#drug-food interaction#Nardil

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