Serotonin Syndrome

Serotonin Syndrome - Serotonin Syndrome Gabriel Tsao MS3...

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Unformatted text preview: Serotonin Syndrome Gabriel Tsao, MS3 Ben Berk, MS4 Gabriel Tsao, MS3 Stanford University School of Medicine Left Brain vs Right Brain Case ID/CC: 45 yo w/ h/o bipolar disorder s/p sigmoid colectomy for adeno CA. Prior outpatient meds: 10, Seroquel 800 qhs, Keppra 500/1000, Xanax >4mg qd, Ambien 10 qhs Hospital course: acutely psychotic post-op Max Inpatient Meds: 10, Seroquel 800 qhs, Keppra 500 q8, Valproic Acid 750/1000, Versed gtt 6, clonidine patch, Ativan 3/3/3/5, Fentanyl gtt 200, Haldol 4/4/4/10, donepazil 10, zofran 8, and olanzapine 5mg q8h PRN Physical exam Hyperthermia ~40º, tremor, agitation, diarrhea, diaphoretic, HTN Psych recommended discontinuing all psychiatric medications, only on valium and fentanyl. Within 48 hrs, pt dramatically recovered Serotonin Syndrome Libby Zion (1984) An 18 yo college student who presented to the hospital with a fever of 103.5, agitation, confusion, “jerking motions.” Had been taking an antidepressent, phenelzine....
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This note was uploaded on 12/24/2011 for the course STEP 1 taught by Professor Dr.aslam during the Fall '11 term at Montgomery College.

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Serotonin Syndrome - Serotonin Syndrome Gabriel Tsao MS3...

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