A client presents to the clinic with symptoms of hyperthermia and diaphoresis. The client's prescription history includes escitalopram (Lexapro), St. John's wort, levothyroxine, and acetaminophen. Which should the nurse suspect has occurred?

Question

Quizplus · Accepted Answer

The patient's symptoms (hyperthermia and diaphoresis) are indicative of serotonin syndrome, which can result from a possible interaction between escitalopram and St. John's wort. Additionally, the acetaminophen may contribute to the risk of serotonin syndrome. Levothyroxine is not known to cause serotonin syndrome. Withdrawal from any of the medications would not cause hyperthermia and diaphoresis. Thyroid toxicosis may cause hyperthermia but not diaphoresis.

A Client Presents to the Clinic with Symptoms of Hyperthermia