Psychology Serotonin Syndrome CH 22 ATI ALT PDF

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Summary

Psychology Serotonin Syndrome CH 22 ATI ALT...

Description

ACTIVE LEARNING TEMPLATE:

System Disorder

Berry ST UDENT NAME Casey _____________________________________ Serotonin Syndrome DISORDER/DISEASE PROCESS __________________________________________________________

Alterations in Health (Diagnosis)

22 REVIEW MODULE CHAPTER ___________

Pathophysiology Related to Client Problem SSRI selectively block reuptake of the monoamine neurotransmitter serotonin in the synaptic space, thereby intensifying the effects of serotonin

Serotonin syndrome

Health Promotion and Disease Prevention Use caution with medications

ASSESSMENT

SAFETY CONSIDERATIONS

Risk Factors

Expected Findings

Overdose of SSRI Concurrent use of SSRIs with MAOIs, TCAs or St. John's wort.

Laboratory Tests

Agitation, confusion, disorientation, difficulty concentrating, anxiety, hallucinations, hyperreflexia, fever, diaphoresis, incoordination, tremors

Diagnostic Procedures

There are no tests for serotonin syndrome

Physical examination, assessment

PATIENT-CENTERED CARE

Nursing Care Nursing care is aimed at normalization of vital signs, including IV fluids

Therapeutic Procedures Adherence to medication regimen, monitor VS, Observe for manifestations

ACTIVE LEARNING TEMPLATES

Serotonin syndrome can be lethal if not recognized Serotonin syndrome can begin 2 hours after medication administration. Symptoms will improve with discontinuation of medication.

Complications Medications Medication should be withheld if serotonin syndrome is suspected

Client Education Advise client to observe for sx of serotonin syndrome. If any occur, pt should withhold medication and contact prescriber

Interprofessional Care Nursing, psychiatry

Sexual dysfunction, CNS Stimulation: insomnia, agitation, anxiety Weight changes Withdrawal syndrome Hyponatremia Rash Sleepiness, faintness, lightheadedness GI bleeding

THERAPEUTIC PROCEDURE

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