MARYVILLE NURS 615 PHARM EXAM 2

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MARYVILLE NURS 615 PHARM EXAM 2

CORRECT SOLUTIONS.

Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? - correct answer- Carbamazepine auto- induces metabolism, leading to lower levels despite good compliance

What are the black box warnings for Carbamazepine? - correct answer- Dermatologic reactions

• Steven's Johnson
• Toxic epidermal necrolysis

What lab test should be ordered for patients on Carbamazepine? - correct answer- CBC every 3-4 months because it can cause decreased WBC, decreased platelets, and trouble with RBC

What kind of teaching needs to be done with families of patients who have seizure disorders? - correct answer- Prevention is important, patient safety is important, Do NOT abruptly stop taking medication.

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Ethosuximide (Zarontin), an anti-seizure medication can cause what? - correct answer- Blood dyscrasias

Patients taking Topiramate need to be monitored for what electrolyte imbalance? - correct answer- Decreased sodium bicarb leading to hyperchloremic metabolic acidosis

Topiramate treats seizures and what is one common side effect? - correct answer- Normal side effect is weight loss, especially in higher dose patients

A child on Topiramate that wants to play sports should monitor what? - correct answer- Don't get overheated. Topiramate may affect his ability to sweat in the heat.

What should a pregnant patient be told about taking Valproate (Depakote)? - correct answer- It is a known teratogen and category X medication. It should not be used in the first trimester, it may be restarted in second trimester.

What patient population should tricyclic antidepressants be used cautiously in? - correct answer- Heart Disease patients

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