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Opioid Analgesics Association with Serotonin Syndrome in Patients Taking Antidepressant Medications

Price: $10.00
Nursing CE: 1.00
This course is accessible until 12/31/2025

Antidepressant use in the United States has increased nearly 65% over a 15-year timeframe (from 1999-2014) (Centers for Disease Control and Prevention [CDC], 2017). This rise in antidepressant use increases the risk of serotonin syndrome for patients in both the perioperative setting and in pain clinics where the administration, and/or prescribing, of opioid analgesics is common practice. This online education module is specifically intended for Certified Registered Nurse Anesthetists (CRNAs) who work in the perioperative setting, pain clinics, or other areas where opioid analgesics are commonly administered or prescribed but can be useful to other healthcare professionals as well. When serotonin syndrome is misdiagnosed or not recognized and treated in a timely manner, it can rapidly become a life-threatening condition.

AANA Members - Use Promo Code AANA2021
Students - Use Promo Code SRNA2021

ACCREDITATION STATEMENT

AdventHealth University Division – echelon® is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.

echelon® is an approved CE provider by the Florida Board of Nursing.

AdventHealth University Division echelon is approved by the California Board of Registered Nursing. Provider Number CPE16352.

NOTE: This activity may be available in multiple formats or from different sponsors; individuals may not repeat and report a self-learning activity for credit twice in the same biennium.

ANCC Accredited OrganizationThis course reports to CE Broker

 

 

Upon completion of this course, program participants will be able to:

  1. Defining and understand the causes of serotonin syndrome.
  2. Determining the impact healthcare professionals can have on improving the gap in knowledge regarding serotonin syndrome development in patients taking antidepressant medications presenting to pain clinics or for surgery where opioid analgesics are prescribed and administered.
  3. Reviewing the signs and symptoms of a patient experiencing serotonin syndrome.
  4. Discussing patient populations who are at an increased risk of developing serotonin syndrome.
  5. Specifying serotonergic antidepressants and opioid analgesics medications associated with serotonin syndrome as well as other pro-serotonergic drugs and their association with serotonin syndrome.
  6. Selecting opioid analgesics that have not been associated with serotonin syndrome to assist with pain management of patients at an increased risk of developing serotonin syndrome.
  7. Utilizing the Hunter Serotonin Toxicity Criteria for diagnosing serotonin syndrome.
  8. Analyzing the necessary treatment plan for patinets presenting with mild to severe signs and symptoms of serotonin syndrome.
  9. Differentiating between conditions that closely resemble serotonin syndrome.

Qualified Planners/Faculty

Steven Fowler, DNP, CRNA

Dr. Fowler is a faculty member and associate professor at AdventHealth University’s Nurse Anesthesia Department. He has over 28 years of experience as a certified registered nurse anesthetist (CRNA) and over 8 years teaching clinically. He received his Doctor of Nursing Practice (DNP) from Wilkes University in 2013, Master of Science (MS) in Nurse Anesthesia from Mercy College in Detroit in 1990, and his Bachelor of Science in Nursing (BSN) from the University of Florida in 1988. Dr. Fowler has been teaching full-time at AdventHealth University since 2015 which includes classroom lectures, simulation training, and clinical precepting. In 1991 Dr. Fowler received the Michigan Association of Nurse Anesthetists Master Thesis Award and has been published in the Journal of Nursing Research and Practice, 2018.

Disclosures

This author has disclosed that there are neither conflicts of interest nor commercial affiliation with this activity.

Joselline Garcia, BSN, RN, CCRN

Joselline Garcia is a graduate student in the Nurse Anesthesia Program at AdventHealth University. She obtained a Bachelor of Science degree in nursing in 2013. She focused her career within various hospitals and worked in the cardiovascular, medical, surgical, and, neurovascular intensive care unit. She is certified in Pediatric Advanced Life Support, Advanced Life Support, Basic Life Support, and is a registered Critical Care Nurse (CCRN). She is also a current member of the American Association of Nurse Anesthetists and Florida Association of Nurse Anesthetists.

Disclosures

This author has disclosed that there are neither conflicts of interest nor commercial affiliation with this activity.

Jennifer Huddlestun, BSN, RN, CCRN

Jennifer Huddlestun is a graduate student in the Nurse Anesthesia Program at AdventHealth University. Prior to pursuing her graduate degree, she earned a Bachelor of Science degree in nursing from Florida State University in Tallahassee, FL. She has over five years of experience as a critical care nurse in the cardiovascular, surgical, and trauma intensive care units. She is a current member of the American Association of Nurse Anesthetists and Florida Association of Nurse Anesthetists.

Disclosures

This author has disclosed that there are neither conflicts of interest nor commercial affiliation with this activity.

Revisioning Author: M. Julie Talmadge, DNP, APRN, FNP-BC, APPD

Dr. Talmadge is a family nurse practitioner with over 18 years of experience as a nurse practitioner. Her most recent clinical experience was in acute care working with a surgical residency program in Orlando, Florida. In 2013 she was awarded her Doctorate of Nursing Practice from the University of Florida in Gainesville. She currently is the Accredited Provider Program Director with echelon, Continuing Education and Professional Development, a Division of AdventHealth University. Dr. Talmadge is a member of the Central Florida Advanced Nursing Practice Council. She served on the Florida Board of Nursing, as appointed by the Governor (term 2018 - 2021). She has been adjunct faculty at the University of Central Florida and has precepted graduate nurse practitioner students.

Disclosures
*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.

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Suite 400
8515 Georgia Avenue
Silver Spring, Maryland 20910-3492
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Contact Hours: 1.00, Category: A/Education
- 12/30/2025
121 S Fruit St
Concord, NH 03301
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https://www.nh.gov/
Contact Hours: 1.00, Category: Pharmacology Advanced Practice Registered Nurse (APRN)
- 12/30/2025
1123 South University Ave
#800
Little Rock, AR 72204
Phone: 501-686-2700
https://www.arsbn.org/
CE Credits: 1.00, Category: Pharmacology

Certified Nurse Practitioner
Clinical Nurse Specialist
Certified Registered Nurse Anesthetist
Certified Nurse Midwife

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1123 South University Ave
#800
Little Rock, AR 72204
Phone: 501-686-2700
https://www.arsbn.org
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Registered Nurse
Licensed Practical Nurse
Registered Nurse Practitioner
Licensed Psychiatric Technician Nurse

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PO Box 944210
Sacramento, California 94244-2100
Phone: 916-574-7718
http://www.rn.ca.gov/
CE Credits: 1.00, Category: General
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899 North Capitol Street, NE
Washington, DC 20002
Phone: 877-672-2174
https://dchealth.dc.gov/bon
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Registered Nurse (Certified Nurse Midwife)
Registered Nurse (Clinical Nurse Specialist)
Registered Nurse (Nurse Practitioner)
Registered Nurse (Registered Nurse Anesthetist)

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899 North Capitol Street NE
Washington, DC 20002
Phone: 877-672-2174
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4052 Bald Cypress Way
Tallahassee, Florida 32399-3252
Phone: 850-245-4125
https://floridasnursing.gov/
Contact Hours: 1.00, Category: Pharmacology
- 12/30/2025
4052 Bald Cypress Way
Tallahassee, Florida 32399-3252
Phone: 850-245-4125
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Registered Nurse
Licensed Practical Nurse
Certified Nursing Assistants

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237 Coliseum Drive
Macon, GA 321217
Phone: 478-207-2440
https://sos.ga.gov/georgia-board-nursing
Continuing Education Hours: 1.00, Category: General

Licensed Practical Nurse
Registered Professional Nurse

- 12/30/2025
312 Whittington Pkwy
# 300
Louisville, KY 40222
Phone: 502-429-3300
https://kbn.ky.gov
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Registered Nurse

- 12/30/2025
312 Whittington Pkwy
# 300
Louisville, KY 40222
Phone: 15024293300
https://kbn.ky.gov
CE Credits: 1.00, Category: Pharmacology
- 12/30/2025
900 SW Jackson
Landon State Office Building, Suite 1051
Topeka, KS 66612
Phone: 785-296-4929
https://ksbn.kansas.gov/
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Registered Nurse

Licensed Practical Nurse

Nurse Practitioner

Clinical Nurse Specialist

Nurse Midwife

Registered Nurse Anesthetist

- 12/30/2025
Bureau of Professional Licensing
611 W. Ottawa
Lansing, MI 48933
Phone: 517-241-0199
https://www.michigan.gov/lara/bureau-list/bpl/health/hp-lic-health-prof/nursing
Contact Hours: 1.00, Category: General

Registered Nurse

Licensed Practical Nurse

Registered Nurse Special Volunteer

Licensed Practical Nurse Special Volunteer

- 12/30/2025
713 S. Pear Orchard Road
Suite 300
Ridgeland, MS 39157
Phone: 601-957-6300
https://www.msbn.ms.gov/
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Licensed Practical Nurse

- 12/30/2025
713 S. Pear Orchard Road
Suite 300
Ridgeland, MS 39157
Phone: 601-957-6300
https://www.msbn.ms.gov/
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Registered Nurse Practitioner

- 12/30/2025
919 S. 7th Street
Suite 504
Bismarck, ND 58504
Phone: 701-328-9777
https://www.ndbon.org
Contact Hours: 1.00, Category: General

Licensed Practical Nurse
Registered Nurse

- 12/30/2025
919 S. 7th Street
Suite 504
Bismarck, ND 58504
Phone: 701-328-9777
https://www.ndbon.org
Contact Hours: 1.00, Category: Pharmacology

Advanced Practice Registered Nurse
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- 12/30/2025
6301 Indian School Rd NE
Suite 710
Albuquerque, NM 87110
Phone: 505-841-8340
https://nmbon.sks.com
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Certified Registered Nurse Anesthetist
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Clinical Nurse Specialist

- 12/30/2025
6301 Indian School Rd NE
Suite 710
Albuquerque, New Mexico 87110
Phone: 505-841-8340
https://nmbon.sks.com
Contact Hours: 1.00, Category: General

Registered Nurse
Licensed Practical Nurse

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121 S Fruit St
Concord, NH 03301
Phone: 603-271-2152
https://www.oplc.nh.gov/new-hampshire-board-nursing
Contact Hours: 1.00, Category: General

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Advanced Practice Registered Nurse (APRN)

Licensed Practical Nurse (LPN)

- 12/30/2025
110 Centerview Drive
Columbia, South Carolina 29210
Phone: 803-896-4550
https://llr.sc.gov/
Contact Hours: 1.00, Category: Pharmacology
- 12/30/2025
110 Centerview Drive
Columbia, SC 29210
Phone: 803-896-4550
https://llr.sc.gov
Contact Hours: 1.00, Category: General

Licensed Practical Nurse
Registered Nurse

- 12/30/2025
130 Hobbs Ave
Suite B
Cheyenne, WY 82002
Phone: (307)777-7601
https://wsbn.wyo.gov/
CE Credits: 1.00, Category: Pharmacology

Certified Nurse Practitioner
Certified Nurse Specialist
Certified Registered Nurse Anesthetist
Registered Nurse

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90 MacCorkle Ave. SW
Suite 203
South Charleston, WV 25303
Phone: 304-744-0900
https://wvrnboard.wv.gov/
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Registered Nurse
Advanced Practice Registered Nurse

Completion Requirements: To receive continuing education credit commensurate with the credit awarded for this on-line activity, the participant must:

  • View all modules and cases studies.
  • Participate and pass all Self-Checks and Post Test(s).
  • Complete and submit the on-line evaluation.

Certificates of Completion: will be available to print immediately upon finishing the completion requirements. You are encouraged to print and save your certificate for your portfolio as required by your licensing body. Interdisciplinary accredited activities, activities having multiple accreditors, will be listed individually on the Certificate of Completion.

Non-Endorsement of Products: echelon®, as an accredited provider, has demonstrated proficient experience and viable resources to provide for valid and reliable evaluation of CE activities. The accuracy of the facts and opinions contained in this activity are the responsibility of the author(s) and do not necessarily reflect those of echelon® or its sponsors. Practitioners should consult primary resources, state regulations, and their healthcare facility policies and procedures for specific application of said content to their local situation. echelon® does not imply that there is real or implied endorsement of any product, service, or company neither referred to in this activity nor of any company subsidizing costs related to this activity. All information contained in this activity is for educational purposes only.

Electronic Record Retention: All activity records are kept on file for a minimum of six (6) years.

Relevant Financial Relationships: echelon® also chooses full disclosure with each activity to report any relevant financial relationship affiliation or support in conjunction with the planning or development of any activity.

*There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity.