Serotonin Syndrome: The ten minute version Russell Berger, MD.

Slides:

Advertisements

Similar presentations

Toxidromes and Drug Ingestions

Advertisements

Antiparkinsonian Agents Ch 14. Parkinson’s Disease Progressive, y.o. d/t imbalance between dopamine & acetylcholine Symptoms: Slowed movement.

Martha Stearn, MD Institute for Cognitive Health St John’s Medical Center Jackson, Wyoming.

Serotonin & Anti-serotonin drugs At the end of this session students should be able to: Describe serotonin (5HT) receptors including serotonin & antiserotonin.

Toxic Seizures Timothy B. Erickson, MD, FACEP, FACMT University of Chicago Toxikon Consortium.

An atypical presentation of Neuroleptic Malignant Syndrome coexisting with Staphylococcus Pneumonia: a diagnostic challenge Preaw Hanseree MD, Joanna M.

Neurological Emergencies Dr. Amal Alkhotani MBBCH, FRCPC, Epilepsy and EEG.

Seizures: Nuts and Bolts Nightfloat Curriculum Lucile Packard Children’s Hospital Residency Program.

Complication after Procedure Resident Name, MD Attending Name, MD Institution Morbidity & Mortality Conference Date.

Serotonin syndrome: A literature review of therapeutic options? Rob Hall MD, PGY4 FRCPC Emergency Medicine Nov 8, 2003.

Psychiatric drug induced syndromes Dr Jason Ward.

Clinical Policy: Critical Issues for the Evaluation and Management of Adult Patients Presenting With Seizures Andy Jagoda, MD, FACEP Professor of Emergency.

Claudia L. Reardon, MD Assistant Professor University of Wisconsin School of Medicine and Public Health NAMI Wisconsin Annual Meeting April 24, 2015.

Serotonin Syndrome Case Debrief. Case Debriefing How do you think that the case went overall? What was done well by the team leader? by the participants?

SpR topic Sarika Hanchanale 21/08/2013. Case A 55 year old female with Ca lung was presented at day hospice in a very agitated state. Her friend said.

Managing and Detecting Seizures in the ICU Special thanks to: Katherine Nickels, MD Assistant Professor of Neurology and Pediatrics Mayo Clinic.

Drug-Induced Seizures (in 15 minutes or Less) Robert S. Hoffman, MD Director, NYC Poison Center Associate Professor Emergency Medicine and Medicine NYU.

 PTSD is an incapacitating mental disorder that follows experiencing or witnessing an extremely traumatic, tragic, or terrifying event.  Persistent.

Trauma: 65 y/o Male with history of Headache and Falling. SAH reported on outside CT.

H1N1 General Information Update Karen Dahl, MD Pediatric Infectious Diseases.

Serotonin syndrome: myth or reality Dr Yolande Knight GP ST2 BASH GpwSI meeting 15 March 2012.

PTSD (Post-traumatic stress disorder) Ricardo Torres.

Antidepressant. Management of psychological disorders Medical treatment Psychotherapy Support groups.

Anxiety and Depression in Paediatric Palliative Care Dr Emma Heckford July 17 th 2012 Disclaimer: Whilst every effort has been made to ensure that the.

for the Psychiatry Clerkship is proud to present And Now Here Is The Host... Insert Name Here.

Psychopharmacology – A brief introduction. Objectives Review general categories of psychiatric disorders Review general categories of psychiatric disorders.

Chapter 7 Mood Disorders and Suicide

1 ANTI DEPRESSANT DRUGS. 2 3 DEPRESSION INTENSE FEELINGS OF SADNESS INTENSE FEELINGS OF SADNESS HOPELESSNESS HOPELESSNESS DESPAIR DESPAIR INABILITY TO.

Peritoneal Dialysis End Stage Renal Disease Causes and Treatment Methods.

Definition of epilepsy

Antidepressants & Neuroleptics Lesson 20. Unipolar Depression n Major Depressive Disorder n Extreme sadness & despair l extent & duration important n.

Management Of Depressive Disorders Pharmacologic Treatments For Depression Copyright © World Psychiatric Association.

Clinical Experience of Novel Psychoactive Substances Dr Richard Stevenson.

Introduction to the Biological Basis for Understanding Psychotropic Drugs.

1 Clinical Toxicology & Pharmacology Newcastle Mater Misericordiae Hospital Risks of Psychotropics.

Serotonin Syndrome (Toxicity) Sue Henderson

Complication during pregnancy and its nursing management: - Pregnancy induces hypertension. Clinical Aspect of Maternal and Child Nursing NUR 363 Lecture.

MANAGEMENT FOR PAEDIATRIC PATIENT UNDER INVESTIGATION (PUI) WITH INFLUENZA-LIKE ILLNESS (ILI) IN OUTPATIENT SETTING CM CHOO HSAH 2013.

ANTIDEPRESSANTS New Antidepressants.

Hyperthermia Revisited James Knochel, MD Clinical Grand Rounds: September 14, 2005.

Intrathecal baclofen Best practices project Troubleshooting Michael Saulino, MD PhD Physiatrist MossRehab Elkins Park.

Russell E. Berger, MD Co-Director of Medical Toxicology Emergency Physician Cambridge Health Alliance Instructor in Medicine Harvard Medical School.

Acute Kidney Injury SUSAN BUDNICK, MD. What is an Acute Kidney Injury?  AKI is a heterogeneous group of conditions that are all characterized by an acute.

Pharmacodynamics and Pharmacokinetics in Psychiatric Pharmacotherapy

Drugs used in Depression- New groups By Prof. Yieldez Bassiouni.

Copyright © 2011 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 05Psychopharmacology.

Clinical Management Course: Medical Complications of Alcoholism Peter R. Martin, M.D. Professor of Psychiatry and Pharmacology.

Drugs Used for Psychoses Chapter 18 Mosby items and derived items © 2010, 2007, 2004 by Mosby, Inc., an affiliate of Elsevier Inc.

TCA and Serotonin Re-Uptake Inhibitors Rama B. Rao, MD Bellevue/New York University Medical Center.

Case study Which antidepressant Dr. Matthew Miller.

PHARMACOLOGY TUTORING FOR ANTIDEPRESSANTS By Alaina Darby.

Sarah Laubach, BSN, SRNA Thomas Jefferson University Class of 2016

Nicholas Lee, PGY-2 March  Understand the definition of insomnia  Understand the common causes of insomnia  Learn non-pharmacologic and pharmacologic.

JAMI FOREBACK, MD., PhD. ANNE DOHRENWEND, PhD. Mclaren Regional Medical Center/ Michigan State University College of Human Medicine Serotonin Syndrome.

Drug interactions in dementia Stephen Bleakley Locality Lead Pharmacist November 2010

Pharmacological emergencies

VISUAL ALTERATION GLAUCOMA.

Serotonin syndrome – one minute read

Falls and Mobility in Aging

Drugs for the treatment of irritable bowel syndrome (IBS)

Overview of Psychiatric Medications

Nonconvulsive Status Epilepticus in Terminally Ill Patients—A Diagnostic and Therapeutic Challenge Stefan Lorenzl, MD, Simon Mayer, MD, Soheyl Noachtar,

PHARMACOTHERAPY - I PHCY 310

Nonconvulsive Status Epilepticus in Terminally Ill Patients—A Diagnostic and Therapeutic Challenge Stefan Lorenzl, MD, Simon Mayer, MD, Soheyl Noachtar,

What Is Myelodysplastic Syndrome?

Diagnosing Focal Epilepsy: A Clinical Case

NMS S EROTONIN S YNDROME D ELIRIUM T REMENS. DO I PLAY PSYCHIATRIST? NO, MEDICAL EMERGENCY!

Volume 154, Issue 6, Pages e169-e171 (December 2018)

Statin Selection in Patients With Pre-Diabetes: Case Considerations

Copyright Notice This presentation is copyrighted by the Psychopharmacology Institute. Subscribers can download it and use it for professional use. The.

Presentation transcript:

Serotonin Syndrome: The ten minute version Russell Berger, MD

Clinical Triad Altered mental status Dysautonomia Hyperreflexia (lower extremity>upper extremity)

Relevant History New serotonergic agent(usually in addition to one old agent) Rapid onset of symptoms

What are some of the more common serotonergic agents Tramadol Demerol TCA’s SSRI’s Lithium MAOi’s Linezolid(yes, the abx) Trazodone Valproic acid Tryptophan St John’s Wort Ginseng

Complications of Serotonin Syndrome Seizures Rhadbomyolysis Hyperthermia Metabolic Acidosis Renal Injury Death

Treatment Options Benzodiazepines – No risk Cyproheptadine(5HT-2A antagonist) – Anticholinergic

The diagnostic dilemma

Questions