Nurs 615 Pharm Exam 2 Questions and
Answers | Newest Updated Study Guide with
Accurate Solutions | Grade A+
• What are the black box warnings for Carbamazepine? -✓✓Dermatologic
reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
• What lab test should be ordered for patients on Carbamazepine? -✓✓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? -✓✓Prevention is important, patient safety is important, Do
NOT abruptly stop taking medication.
• Ethosuximide (Zarontin), an anti-seizure medication can cause what? -✓✓Blood
dyscrasias
• Patients taking Topiramate need to be monitored for what electrolyte imbalance?
-✓✓Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
• Topiramate treats seizures and what is one common side effect? -✓✓Normal side
effect is weight loss, especially in higher dose patients
• A child on Topiramate that wants to play sports should monitor what? -✓✓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)? -✓✓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? -
✓✓Heart Disease patients
• Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this
medication? -✓✓He should not use serotonergic drugs like Imitrex. Also, this class
of medication interacts with yogurt, sour cream, soy sauce, etc.
• Phenelzine (Nardil) may cause what if there is an interaction with known
contraindicated foods? -✓✓Hypertensive crisis
• What are the side effects of tricyclic antidepressants? -✓✓Anticholinergic type
effects like dry mouth, sedation, constipation, increased appetite, blurred vision,
tinnitus, euphoria, mania
• How long does it take for SSRIs to take effect -✓✓2-6 weeks
• SSRIs may cause what onset of action symptoms? -✓✓Nausea, but this will
usually resolve in a week.
• What is one thing you should not do with SSRIs? -✓✓Drink alcohol
• What should happen when going off an SSRI? -✓✓Wean slowly, do not stop
abruptly
Answers | Newest Updated Study Guide with
Accurate Solutions | Grade A+
• What are the black box warnings for Carbamazepine? -✓✓Dermatologic
reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
• What lab test should be ordered for patients on Carbamazepine? -✓✓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? -✓✓Prevention is important, patient safety is important, Do
NOT abruptly stop taking medication.
• Ethosuximide (Zarontin), an anti-seizure medication can cause what? -✓✓Blood
dyscrasias
• Patients taking Topiramate need to be monitored for what electrolyte imbalance?
-✓✓Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
• Topiramate treats seizures and what is one common side effect? -✓✓Normal side
effect is weight loss, especially in higher dose patients
• A child on Topiramate that wants to play sports should monitor what? -✓✓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)? -✓✓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? -
✓✓Heart Disease patients
• Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this
medication? -✓✓He should not use serotonergic drugs like Imitrex. Also, this class
of medication interacts with yogurt, sour cream, soy sauce, etc.
• Phenelzine (Nardil) may cause what if there is an interaction with known
contraindicated foods? -✓✓Hypertensive crisis
• What are the side effects of tricyclic antidepressants? -✓✓Anticholinergic type
effects like dry mouth, sedation, constipation, increased appetite, blurred vision,
tinnitus, euphoria, mania
• How long does it take for SSRIs to take effect -✓✓2-6 weeks
• SSRIs may cause what onset of action symptoms? -✓✓Nausea, but this will
usually resolve in a week.
• What is one thing you should not do with SSRIs? -✓✓Drink alcohol
• What should happen when going off an SSRI? -✓✓Wean slowly, do not stop
abruptly
