NMS vs. Serotonin Syndrome Flashcards

1
Q

NMS is more likely to happen with what agents?

A

Dopamine antagonists (APS!), more likely in high potency drugs like fluphenazine and haloperidol in FGAs

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2
Q

Time of onset of NMS

A

~1-3 days

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3
Q

Does NMS have hypo or hyperreflexia?

A

HYPOreflexia

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4
Q

Does NMS have normal or dilated pupils?

A

Normal (N in NMS, N in normal!)

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5
Q

Does NMS have normal/decreased bowel sounds or hyperactive bowel sounds?

A

Normal/decreased (N in NMS for normal!)

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6
Q

NMS mental status

A

Variable ranging from alert to stupor or coma

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7
Q

Other NMS symptoms

A

lead pipe rigidity, pallor

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8
Q

Serotonin syndrome is more likely to happen with what agents?

A

Serotonin agents

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9
Q

Time of onset for serotonin syndrome

A

<12 hours

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10
Q

Does SS have hypo or hyperreflexia?

A

HYPERreflexia and clonus (2 Ss, 2 Rs)

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11
Q

Does SS have normal or dilated pupils?

A

Dilated

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12
Q

Does SS have normal/decreased bowel sounds or increased bowel sounds?

A

Increased/hyperactive

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13
Q

SS mental status

A

Variable ranging from agitation to coma

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14
Q

Other SS symptoms

A

Increased tone in lower extremities

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15
Q

What do NMS and SS have in common?

A

HTN, increased HR, hyperthermia, hypersalivation, diaphoresis

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