CRNE Canadian Registered Nurse

Category - Wellness

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A client is placed on tranylcypromine sulfate (Parnate) after amitriptyline hydrochloride (Elavil) proved to be ineffective. When making a plan of care, which of the following must be contraindicated for the client?

Fresh shellfish
Avocados
Oatmeal
Cottage cheese

Explanation

Answer: B - Tranylcypromine sulfate is a monoamine oxidase inhibitor. Foods rich in tyramine must be avoided to prevent hypertension and hypertensive crisis. Avocados, bananas, aged cheese, processed meats, and caffeine are high in tyramine.

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