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% Document Info
\author{adrianao}
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  /Title (tricyclic-antidepressants.pdf)
  /Creator (Cheatography)
  /Author (adrianao)
  /Subject (Tricyclic Antidepressants Cheat Sheet)
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    \vspace{-2pt}\large{\bf{\textcolor{DarkBackground}{\textrm{Tricyclic Antidepressants Cheat Sheet}}}} \\
    \normalsize{by \textcolor{DarkBackground}{adrianao} via \textcolor{DarkBackground}{\uline{cheatography.com/168237/cs/35242/}}}
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  \mymulticolumn{2}{p{5.377cm}}{\bf\textcolor{white}{Cheatographer}}  \\
  \vspace{-2pt}adrianao \\
  \uline{cheatography.com/adrianao} \\
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  \mymulticolumn{1}{p{5.377cm}}{\bf\textcolor{white}{Cheat Sheet}}  \\
   \vspace{-2pt}Published 5th November, 2022.\\
   Updated 5th November, 2022.\\
   Page {\thepage} of \pageref{LastPage}.
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  Measure your website readability!\\
  www.readability-score.com
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\begin{multicols*}{3}

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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Medications}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Amitriptyline} \tn 
% Row Count 1 (+ 1)
% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Imipramine} \tn 
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% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Doxepin} \tn 
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% Row 3
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% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Amozapine} \tn 
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\mymulticolumn{1}{x{5.377cm}}{Trimipramine} \tn 
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% Row 7
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\mymulticolumn{1}{x{5.377cm}}{Clomipramine} \tn 
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Purpose}}  \tn
% Row 0
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\mymulticolumn{1}{x{5.377cm}}{Is medication's block reuptake of norepinephrine and serotonin in the synaptic space, thereby intensifying the effects of these neurotransmitters.} \tn 
% Row Count 3 (+ 3)
% Row 1
\SetRowColor{white}
\mymulticolumn{1}{x{5.377cm}}{It can take 10 to 14 days or longer before TCAs begin to work, and maximum effects might not be seen until 4 to 8 weeks.} \tn 
% Row Count 6 (+ 3)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Therapeutic Uses and Other Uses}}  \tn
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Therapeutic Uses & Other Uses \tn 
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% Row 1
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Depression & Neuropathic pain \tn 
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Depressive episodes of bipolar disorders & Fibromyalgia \tn 
% Row Count 4 (+ 2)
% Row 3
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 & Anxiety disorders \tn 
% Row Count 5 (+ 1)
% Row 4
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 & Obsessive Compulsive disorder \tn 
% Row Count 7 (+ 2)
% Row 5
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 & Insomnia \tn 
% Row Count 8 (+ 1)
% Row 6
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 & Attention deficit/ hyperactivity disorder \tn 
% Row Count 11 (+ 3)
% Row 7
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 & Bipolar disorder \tn 
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Complications}}  \tn
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Complication & Nursing Action and Education \tn 
% Row Count 2 (+ 2)
% Row 1
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Orthostatic Hypotension & Monitor blood pressure and heart rate for clients in the hospital for orthostatic changes before administration and one hour after. If a significant decrease in blood pressure or increase in heart rate is noted, do not administer the medication, and notify the provider. Be aware of the effects of postural hypertension (lightheadedness, dizziness). If these occur, advise the client to sit or lie down. Orthostatic hypotension is minimized by changing positions slowly. Avoid dehydration, which increases the risk for hypotension. \tn 
% Row Count 29 (+ 27)
% Row 2
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Anticholinergic Effects: Dry mouth, blurred vision, photophobia, urinary hesitancy or retention, constipation, tachycardia. & Minimize affects by chewing sugarless gum, sipping on water, wearing sunglasses went outdoors, eating foods high in fiber, participating in regular exercise, increasing fluid intake to at least 2 to 3 L a day from beverage and food sources, void just before taking medication. Notify the provider if effects persist \tn 
% Row Count 45 (+ 16)
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\mymulticolumn{2}{x{5.377cm}}{\bf\textcolor{white}{Complications (cont)}}  \tn
% Row 3
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Sedation (Usually diminishes over time) & Avoid hazardous activities (driving) if sedation is excessive. Take medication at bedtime to minimize daytime sleepiness and to promote sleep. \tn 
% Row Count 8 (+ 8)
% Row 4
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Toxicity (resulting in cholinergic blockade and cardiac toxicity evidenced by dysrhythmias, mental confusion, and agitation, followed by seizures, coma, and possible death.) & Obtain baseline ECG, monitor vital signs frequently, monitor manifestations of toxicity, notify the provider if manifestations of toxicity occur. \tn 
% Row Count 17 (+ 9)
% Row 5
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Decreased seizure threshold & Monitor clients who have seizure disorders \tn 
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% Row 6
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Excessive swetting & Be aware of adverse effects. Preform frequent linen changes \tn 
% Row Count 23 (+ 3)
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% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Contraindicated in clients who have seizure disorders for recently experienced a myocardial infarction.} \tn 
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% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Use cautiously in clients who are elderly or who have coronary artery disease, diabetes, liver, kidney, or respiratory disorders, urinary retention or obstruction, angle closure glaucoma, benign prostate hyperplasia, and hyperthyroidism.} \tn 
% Row Count 11 (+ 5)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Clients at an increased risk for suicide should receive a one week supply of medication at a time due to the lethality of a toxic dose} \tn 
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\mymulticolumn{1}{x{5.377cm}}{\bf\textcolor{white}{Interactions}}  \tn
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\mymulticolumn{1}{x{5.377cm}}{Interaction} \tn 
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% Row 1
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\mymulticolumn{1}{x{5.377cm}}{Concurrent use with MAOIs and St. John's Wort can lead to serotonin syndrome} \tn 
% Row Count 3 (+ 2)
% Row 2
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\mymulticolumn{1}{x{5.377cm}}{Concurrent use with MAOIs can cause severe hypotension} \tn 
% Row Count 5 (+ 2)
% Row 3
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\mymulticolumn{1}{x{5.377cm}}{Antihistamines and other anticholinergic agents have additive anticholinergic effects} \tn 
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% Row 4
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\mymulticolumn{1}{x{5.377cm}}{Increased effects of epinephrine, dopamine occur because uptake to the nerve terminals is blocked by TCAs} \tn 
% Row Count 10 (+ 3)
% Row 5
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\mymulticolumn{1}{x{5.377cm}}{Alcohol, benzodiazepines, opioids, and antihistamines can cause additive CNS depression when used concurrently} \tn 
% Row Count 13 (+ 3)
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% That's all folks
\end{multicols*}

\end{document}