II B: Medications

Question 0

dextroamphetamine***

Answer 0

• APPETITE SUPPRESSANT

- ANOREXIA, NAUSEA, WEIGHT LOSS

Question 1

megestrol acetate/megase***

Answer 1

APPETITE STIMULANT

Question 2

orlistat***

Answer 2

• DECREASES FAT ABSORPTION BY BINDING LIPASE

- VITAMIN/MINERAL SUPPLEMENT

Question 3

marinol***

Answer 3

APPETITE STIMULANT

Question 4

methylphenidate (Ritalin)***

Answer 4

• ANOREXIA, WEIGHT LOSS, NAUSEA

Question 5

lithium carbonate (antidepressant)***

Answer 5

increased appetite, weight gain

Question 6

lithium carbonate- need to maintain CONSISTENT intakes of what nutrients?***

Answer 6

SODIUM, 2g sodium diet is NOT appropriate, & CAFFEINE

Question 7

what happens if sodium or caffeine are RESTRICTED when taking rx lithium carbonate?***

Answer 7

lithium excretion decreases = TOXICITY

Question 8

propofol is administered in?**

Answer 8

oil

Question 9

propofol provides?***

Answer 9

1.1 kcal/cc

Question 10

propofol- lab value to check***

Answer 10

TG

Question 11

what 2 things decrease the effectiveness of L-dopa?***

Answer 11

B6 & protein

Question 12

levodopa (L-dopa)***

Answer 12

Parkinson’s disease

Question 13

when should L-dopa be taken?***

Answer 13

IN MORNING with LIMITED PROTEIN (competes with drug) = no more than 10g

Question 14

tyramine can lead to what if taken with MAOIs (monoamine oxidase inhibitor)?***

Answer 14

hypertension

Question 15

why can MAOIs + tyramine lead to HTN?***

Answer 15

MAOIs interact w/ tyramine and release norepinephrine, which increases BP

Question 16

what substances should be eliminated or restricted with MAOIs?***

Answer 16

ELIMINATE dopamine & RESTRICT TYRAMINE (monoamines)

Question 17

tryamine and foods***

Answer 17

tyramine content of food increases as foods age or spoil = better to eat fresh foods and avoid fermented, aged foods

Question 18

what foods should be RESTRICTED IN GENERAL with MAOIs?**

Answer 18

AGED, FERMENTED, HIGHLY PROCESSED, DRIED, PICKLED, SMOKED, SPOILED foods

Question 19

specific foods to RESTRICT & LIIMIT with MAOIs***

Answer 19

AVOID: hard, aged cheese (cheddar or Swiss); sauerkraut; some sausages; luncheon meats; tofu, miso; Chianti wine

LIMIT: sour cream, yogurt, buttermilk

Question 20

foods that are OK to eat with MAOIs***

Answer 20

cottage cheese, cream cheese

Question 21

advice for food when taking MAOIs?***

Answer 21

buy, cook, eat FRESH foods