A patient being treated with paroxetine (Paxil)50 mg po daily for depression reports to the clinic nurse,"I took a few extra tablets earlier today and now I feel bad." Which assessments are most critical? Select all that apply.

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The patient is taking the maximum dose of this SSRI and has ingested an additional unknown amount of the drug.Central serotonin syndrome must be considered.Symptoms include abdominal pain,diarrhea,tachycardia,elevated blood pressure,hyperpyrexia,increased motor activity,and muscle spasms.Central serotonin syndrome may progress to a full medical emergency if not treated early.The patient may have urinary retention,but frequency would not be expected.

A Patient Being Treated with Paroxetine (Paxil)50 Mg Po Daily