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학습 자료 둘러보기 →In an older adult on tramadol, new onset confusion, agitation, and hallucinations are a medical emergency. This triad suggests serotonin syndrome, not simple delirium, due to tramadol's SNRI effects.
Immediate intervention includes discontinuing tramadol and notifying the provider. Supportive care focuses on managing agitation with benzodiazepines and monitoring for autonomic instability (hyperthermia, tachycardia).
Do not mistake this for expected opioid side effects like mild nausea or constipation. Hallucinations differentiate a toxidrome from common adverse reactions and require stopping the drug.
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