A client with a seizure disorder takes sertraline and bupropion. The prescriber adds tramadol for pain. Which …

Question

A client with a seizure disorder takes sertraline and bupropion. The prescriber adds tramadol for pain. Which action should the nurse take?

Accepted Answer

Option 2: Hold tramadol and contact the prescriber about the combined seizure and serotonin-syndrome risks.

Tramadol can cause seizures within the recommended dosage range, and risk increases in clients with a seizure history or with drugs that lower the seizure threshold. Concurrent sertraline also increases the risk of serotonin syndrome. The nurse should hold the new dose and clarify the order rather than adding diphenhydramine, escalating the dose, or assuming a prescribed dose is risk-free.

Answer

Option 1: Administer tramadol because its seizure risk occurs only when doses exceed the prescribed range.

Answer

Option 3: Give diphenhydramine with tramadol because an antihistamine prevents serotonin syndrome.

Answer

Option 4: Increase tramadol if pain persists because sertraline reduces its serotonergic activity.

A client with a seizure disorder takes sertraline and bupropion. The prescriber adds tramadol for pain. Which action should the nurse take?

In-depth explanation

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A client with a seizure disorder takes sertraline and bupropion. The prescriber adds tramadol for pain. Which action should the nurse take?

In-depth explanation

Master the NCLEX-RN with MyMerci