08.11 Amitriptyline (Elavil)
Depression, anxiety, insomnia, parkinson’s
Increases effect of serotonin and norepinephrine in the CNS, exhibits anticholinergic effects
• Contraindicated in MI, heart failure, QT prolongation, glaucoma
• May increase risk for suicidal ideation
• May cause arrhythmias, hypotension, EKG changes
• May cause alterations in blood glucose levels
• May lead to general sedation and lethargy
• Do not use within 2 weeks of MAOIs
• Instruct pt to take medication exactly as instructed
• Monitor for orthostatic hypotension
• May lead to photosensitivity, instruct patient to use sunscreen
• May turn urine blue/green color.
Cornell Note-Taking System Instructions:
- Record: During the lecture, use the note-taking column to record the lecture using telegraphic sentences.
- Questions: As soon after class as possible, formulate questions based onthe notes in the right-hand column. Writing questions helps to clarifymeanings, reveal relationships, establish continuity, and strengthenmemory. Also, the writing of questions sets up a perfect stage for exam-studying later.
- Recite: Cover the note-taking column with a sheet of paper. Then, looking at the questions or cue-words in the question and cue column only, say aloud, in your own words, the answers to the questions, facts, or ideas indicated by the cue-words.
- Reflect: Reflect on the material by asking yourself questions, for example: “What’s the significance of these facts? What principle are they based on? How can I apply them? How do they fit in with what I already know? What’s beyond them?
- Review: Spend at least ten minutes every week reviewing all your previous notes. If you do, you’ll retain a great deal for current use, as well as, for the exam.
For more information, visit www.nursing.com/cornell