Serotonin syndrome the ten minute version
This presentation is the property of its rightful owner.
Sponsored Links
1 / 10

Serotonin Syndrome: The ten minute version PowerPoint PPT Presentation


  • 77 Views
  • Uploaded on
  • Presentation posted in: General

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.

Download Presentation

Serotonin Syndrome: The ten minute version

An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -

Presentation Transcript


Serotonin syndrome the ten minute version

Serotonin Syndrome: The ten minute version

Russell Berger, MD


Clinical triad

Clinical Triad

  • Altered mental status

  • Dysautonomia

  • Hyperreflexia (lower extremity>upper extremity)


Relevant history

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

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

Complications of Serotonin Syndrome

Seizures

Rhadbomyolysis

Hyperthermia

Metabolic Acidosis

Renal Injury

Death


Treatment options

Treatment Options

  • Benzodiazepines

    • No risk

  • Cyproheptadine(5HT-2A antagonist)

    • Anticholinergic


The diagnostic dilemma

The diagnostic dilemma


Serotonin syndrome the ten minute version

Questions


  • Login