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:)))))))))))))) - stefan78
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05-22-2009, 01:16 PM
The best treatment for this patient with
serotonin syndrome is: A) Dantrolene. B) Cyproheptadine. C) Propranolol. D) A and B. E) B and C.
05-22-2009, 01:25 PM
brawo its dddddddddd
The correct answer is D. This patient has a typical serotonin syndrome, which can be caused by the interaction of an MAOI and a serotonin reuptake inhibitor (SRI). Since fluoxetine (Prozac) has such a long halflife, a two-day washout period is not sufficient before starting an MAOI. Answer A is incorrect because the patient has marked muscle rigidity”not something found in meningitis. Answer B is incorrect because isolated fluoxetine overdoses rarely if ever cause such dramatic symptoms. Answer C is incorrect because the patient has normal pupils. Remember that part of the anticholinergic toxidrome is mydriasis. Answer E is incorrect because this patient is not on any neuroleptics. If this patient were taking neuroleptics, neuroleptic malignant syndrome would be a consideration. |
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