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Chellemonia Chellemonia
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6 years ago
A college student is brought into the emergency department for treatment after friends say that she took at least 20 antidepressant pills all at once.
 
  A nurse should be most concerned that of all the antidepressants, which of the following could lead to the worst outcome for the patient?
  a. Venlafaxine (Effexor)
  b. Fluoxetine (Prozac)
  c. Paroxetine (Paxil)
  d. Sertraline (Zoloft)
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#1
6 years ago
ANS: A
Venlafaxine can cause dose-related, sustained diastolic hypertension, a medical crisis for the patient.
Fluoxetine, paroxetine, and sertraline, all selective serotonin reuptake inhibitors, may do harm to the patient when taken in such a large dose, but death by overdose is extremely rare.
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