Selective Serotonin Reuptake Inhibitors Withdrawal Syndrome Overview Symptoms begin 1to 3 days after abrupt cessation of selective serotonin reuptake inhibitors (SSRIs). It also occurs with discontinuation of the serotonin-norepinephrine reuptake…

Noradrenergic Syndrome (Early Tricyclic Syndrome) Overview It occurs most often in patients with panic disorder. It involves treatment with noradrenergic medications such as desipramine and imipramine. Symptoms Nervousness, restlessness, tremulousness,…

Serotonin Syndrome Overview A potentially fatal condition that results from the combination of two or more drugs that overactivate the serotonin system in the central nervous system (CNS) Characterized by…

Neuroleptic Malignant Syndrome Neuroleptic malignant syndrome (NMS) overview Life-threatening condition caused by antipsychotic medications, including the new generation antipsychotic medications. Reported in patients on tricyclic antidepressants. Also seen in patients…

Syndrome of Inappropriate Secretion of Antidiuretic Hormone Antidiuretic hormone (ADH) overview ADH, also called vasopressin, is a hormone synthesized in the hypothalamus. It is stored in the pituitary gland. Release…

Wound Care Cleaning the wound General Clean wounds as soon as possible to prevent bacterial counts from reaching infective levels. Preparation All wound care should be done with the patient…

Vaginitis Evaluation General—inflammation of the vagina Etiology Bacterial vaginosis (40%-50% of cases) Clinical—adherent and malodorous (“fishy”) off-white discharge NO dyspareunia, pruritus, or inflammation; many ♀ are asymptomatic. Etiology—change in vaginal…

Urinary Tract Infection Evaluation General—urinary tract infections (UTIs) include asymptomatic bacteriuria, cystitis, pyelonephritis, and urosepsis Asymptomatic bacteriuria Description—” class=LK href=”javascript:void(0)” target=right xpath=”/CT{06b9ee1beed59419a81e5e1e1a4f60b0cc8cd1057525de73425b2b43f4df7f1bf60323fbcd0e1aa4e5fb9c2b78c8b64b}/ID(AB1-M10)”>>100,000 colony-forming units (CFU) per mL of bacteria in…

Urinary Incontinence Evaluation General—involuntary loss of urine that is often underdiagnosed and underreported. Epidemiology—♀ ” class=LK href=”javascript:void(0)” target=right xpath=”/CT{06b9ee1beed59419a81e5e1e1a4f60b0cc8cd1057525de73425b2b43f4df7f1b35df143d2e09634522df3569b47c61ae}/ID(AB1-M10)”>> ♂; old ” class=LK href=”javascript:void(0)” target=right xpath=”/CT{06b9ee1beed59419a81e5e1e1a4f60b0cc8cd1057525de73425b2b43f4df7f1b35df143d2e09634522df3569b47c61ae}/ID(AB1-M10)”>> young; ” class=LK href=”javascript:void(0)”…

Stye (Hordeolum) Evaluation General—acute inflammatory process involving the glands (meibomian or Zeis) of the eyelid. Clinical—abrupt onset of a tender, erythematous mass of the eyelid. Etiology—Staphylococcus aureus is responsible for…