Author Question: The patient takes St. John's wort for depression but does not tell anyone about this. The ... (Read 14 times)

cartlidgeashley · **on:** Jul 23, 2018

The patient takes St. John's wort for depression but does not tell anyone about this. The psychiatrist prescribes an SSRI. What could the nurse's assessment reveal due to this concurrent administration?

1. Dizziness
2. Serum glucose level of 340
3. Sedation
4. Serum potassium of 6.0

Question 2

A patient in the emergency department says, I am having bad effects from the marijuana I smoked this morning. The nurse formulates a response based on knowledge that effects of marijuana may last up to ____ hours.

Fill in the blank(s) with correct word

ryhom · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

1
Rationale 1: Dizziness is associated with serotonin syndrome, which may occur when St. John's wort and SSRIs are given concurrently.
Rationale 2: Combining St. John's wort and an SSRI does not result in hyperglycemia.
Rationale 3: It is more likely that concurrent administration of St. John's wort and an SSRI will result in agitation.
Rationale 4: Combining St. John's wort and an SSRI will not result in hyperkalemia.
Global Rationale: Dizziness is associated with serotonin syndrome, which may occur when St. John's wort and SSRIs are given concurrently. Combining St. John's wort and an SSRI does not result in hyperglycemia or hyperkalemia. It is more likely that concurrent administration of St. John's wort and an SSRI will result in agitation.

Answer to Question 2

24

Rationale: When inhaled, marijuana produces effects that occur within minutes and last up to 24 hours.

Global Rationale: When inhaled, marijuana produces effects that occur within minutes and last up to 24 hours.