A patient being treated with paroxetine (Paxil) 50 mg po daily for depression reports to the clinic nurse that he took a few extra tablets earlier in the day and "feels bad" now
For what possible indicators of a negative reaction to the increased paroxetine ingestion should the nurse assess? Select all that apply. a. Hypotension
b. Suicidal ideation
c. Abdominal pain
d. Disorientation
e. Tachycardia
f. Hyperpyrexia
C, D, E, F
The patient is taking the maximum dose of this SSRI and has ingested an additional unknown amount of the drug, increasing the risk of serotonin syndrome. Symptoms of serotonin syndrome include abdominal pain, diarrhea, tachycardia, elevated blood pressure, hyperpyrexia, increased motor activity, delirium, muscle spasms, seizure, and apnea. Serotonin syndrome may progress to a full medical emergency if not treated early. Hypotension is not a likely consequence of serotonin syndrome (although fluctuation in vital signs may occur). Although assessing for suicidal ideation is never inappropriate, serotonin hyperactivity does not typically increase suicide ideation or risk, and physiological symptoms should be the initial focus.
You might also like to view...
Nurses are revising the policy and procedure manual for the nursing unit. They work to ensure that the policies address more than one person and more than one set of circumstances. Which aspect of policy does this reflect?
1. Scale 2. Normativity 3. Generality 4. Decision determination
Which of the following signs or symptoms will the nurse find on assessing a child who is neutropenic and has an infection?
a. elevated temperature and complaint of a feverish feeling b. production of pus c. redness of inflammation d. no signs except perhaps complaint of pain or swelling
A nurse wants to assess an adult patient's recent memory. Which question would best yield the desired information?
a. "Where did you go to elementary school?" b. "What did you have for breakfast this morning?" c. "Can you name the current president of the United States?" d. "A few minutes ago, I told you my name. Can you remember it?"
A nurse is selecting a family theory to assess a patient's family dynamics. Which family theory best describes a series of tasks for the family throughout its life span?
a. Interactional theory b. Developmental systems theory c. Structural-functional theory d. Duvall's developmental theory