NURS 1089 Lecture Notes - Lecture 4: Tricyclic Antidepressant, Orthostatic Hypotension, Urinary Retention
21 Feb 2018
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If you have a friend named tina, you defi(cid:374)itely wo(cid:374)"t forget your tri(cid:272)y(cid:272)li(cid:272) a(cid:374)tidepressa(cid:374)ts (cid:894)tcas(cid:895). Besides noticing tina in your life, you will also notice that these all end in -ine (or -pramine and -triptyline). Just do not forget about doxepin (sinequan) as well! Tcas block the reabsorption of norepinephrine and serotonin. By doing so, neurotransmitters will be more available at postsynaptic receptors. This is used to treat depression, alcohol and drug withdrawal, bipolar disorder, and for clients who have failed to respond well to other antidepressants, such as ssris. When assessing a client undergoing tca therapy, which of the following should the nurse watch out for when experiencing anticholinergic effects: tremors, sedation, hypotension, urine retention. Yes, all of the above choices are all s&s of tricyclics, but you need to be aware of the anticholinergic effects (blurred vision, urinary retention, constipation, and dry mouth can"t see, can"t pee, can"t shit, can"t spit).
