A tricyclic antidepressant has been prescribed to a 77-year-old client whose current medication regimen includes omeprazole, cap
topril, calcium carbonate, alendronate, and warfarin. what assessment should the nurse prioritize when monitoring the client for drug-drug interactions?
There is a need to monitor closely for bleeding and review coagulation indices when accessible.
Explanation:
Combining warfarin with TCAs develops a threat for bleeding that should be assessed in the nursing care plan. There is no familiar association between the calcium supplements or bisphosphonates and TCAs, which would develop a threat of hypocalcemia. The TCAs do not elevate the threat of gastroesophageal reflux. The TCAs can influence blood pressure, however, this is not associated with any known drug-drug associations.
<span>Monitor the client closely for bleeding and review coagulation indices when available.
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Combining TCAs with warfarin creates a risk for bleeding,
which should be addressed in the nursing care plan. There is no known interaction
between TCAs and calcium supplements or bisphosphonates that would create a
risk for hypocalcemia. TCAs do not heighten the risk of gastroesophageal reflux.
TCAs can affect blood pressure, but this is unrelated to any known drug-drug interactions.
