title: Neurologic Complications of Commonly Used Drugs in the Hospital Setting.
abstract: This chapter reviews the neurologic complications of medications administered in the hospital setting, by class, introducing both common and less common side effects. Detail is devoted to the interaction between pain, analgesia, sedation, and their residual consequences. Antimicrobials are given in nearly every hospital setting, and we review their capacity to produce neurologic sequelae with special devotion to cefepime and the antiviral treatment of human immunodeficiency virus. The management of hemorrhagic stroke has become more complex with the introduction of novel oral anticoagulants, and we provide an update on what is known about reversal of the new oral anticoagulants. Both central and peripheral nervous system complications of immunosuppressants and chemotherapies are reviewed. Because diagnosis is generally based on clinical acumen, alone, neurotoxic syndromes resulting from psychotropic medications may be easily overlooked until severe dysautonomia develops. We include a practical approach to the diagnosis of serotonin syndrome and neuroleptic malignant syndrome.
authors.affiliation: Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. Dawson.Elliot@mayo.edu.
authors.forename: Elliot T
authors.initials: ET
authors.lastname: Dawson
authors.affiliation: Department of Neurology, Mayo Clinic, 200 First Street SW, Rochester, MN, 55905, USA. Hocker.Sara@mayo.edu.|Department of Neurology, Division of Critical Care Neurology, Mayo Clinic, Rochester, MN, USA. Hocker.Sara@mayo.edu.
authors.forename: Sara E
authors.initials: SE
authors.lastname: Hocker
mesh_terms: D000700:Analgesics / Q000008:administration & dosage; D000818:Animals; D000900:Anti-Bacterial Agents / Q000009:adverse effects; D006761:Hospitals; D006801:Humans; D009422:Nervous System Diseases / Q000139:chemically induced*; D011619:Psychotropic Drugs / Q000009:adverse effects
chemical_list: D000700:Analgesics; D000900:Anti-Bacterial Agents; D011619:Psychotropic Drugs
keywords: Drugs; Hospital; Medications; Neurologic complications