A nurse cares for four patients who are receiving clozapine, lithium, fluoxetine, and venlafaxine, respectively
With which patient should the nurse be most alert for alterations in cardiac or cerebral electrical conductivity and fluid and electrolyte imbalance? The patient receiving: a. lithium (Lithobid).
b. clozapine (Clozaril).
c. fluoxetine (Prozac).
d. venlafaxine (Effexor).
A
Lithium is known to alter electrical conductivity, producing cardiac dysrhythmias, tremor, convulsions, polyuria, edema, and other symptoms of fluid and electrolyte imbalance. Patients receiving clozapine should be monitored for agranulocytosis. Patients receiving fluoxetine should be monitored for acetylcholine block. Patients receiving venlafaxine should be monitored for heightened feelings of anxiety.
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