Question

Elisabeth, 2-year-old female she started experiencing unexplained restlessnes, the att strange sympic She recalls that h a s she started experience muscle witching, diarrhea, and muscle twitches You are updating her med istan 25 mg tablets. Her current te migraine and scribed sumatriptan 25 m mestication list is as follows: Sumatriptan 25mg Nucetine 20mg, birth control her medication ist make ute that 5 days she went to Urgenta Vital Heart Rate 130 bpm, BP: 150/95, Temperature 103.4 F, Respiration rate 18 bpm Inspection: Patient appears to be agitated, has dilated pupils, and appears sweaty Whish is the correct classification of fluoxetine? SSRI & SNRI & TCA & MAO 12 Which of the following syndromes may occur with concurrent use of an SSRI and a triptan a Serotonin syndrome b. Hypertensive Crisis Syndrome Extrapyramidal symptoms syndrome d Cushing's Syndrome Which of the following neurotransmitters is affected with both SSRI and SNRI medications? Amylase D Serotonin c. Sympathetic d. Norepinepherine 14. According to its monograph, the recommended starting dose of fluoxetine for adult patients is 20mg/day, however, this dose can be increased overtime. The patient has been prescribed which of the following types of doses? 1 Lethal dose b. Maximum dose c. Initial dose d. Divided dose

Answer 1

1) Option A.

SSRI

Correct classification of fluoxetine is SSRI.

Selective Serotonin Re uptake Inhibitor is used for treatment for depression and anxiety.

2)Option A

Serotonin syndrome.

Combined use of both SSRI and triptan medication is causing serotonin syndrome.

3)Option B

Serotonin

Use of SSRI and SANI medication is affecting serotonin neurotransmitter.

Serotonin carriers signals betwwee brain nerve cells.

4)Option C

Initial dose.

In adult's the initial dose of fluoxetine is 20 mg and it can be increased overtime.But it should be more than 80 mg per day.