Maryville NURS 615 Pharm Exam 2 With 100% Correct Answers 2023-2024
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
1. Steven's Johnson
2. 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.
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
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? - Correct Answer-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? - Correct Answer-Hypertensive crisis
What are the side effects of tricyclic antidepressants? - Correct Answer-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 - Correct Answer-2-6 weeks
SSRIs may cause what onset of action symptoms? - Correct Answer-Nausea, but this will usually resolve in a week.
What is one thing you should not do with SSRIs? - Correct Answer-Drink alcohol
What should happen when going off an SSRI? - Correct Answer-Wean slowly, do not stop abruptly
What medications would a patient with depression and anxiety respond well to? - Correct Answer-Buspar and an SSRI combined
Celexa (Citalopram)
Lexapro (Escitalopram)
Why should you combine an SSRI with Buspar? - Correct Answer-Buspar augments the
SSRI and is a good combo for anxiety and depression
What is a first line drug for mild to moderate generalized anxiety disorder? - Correct Answer-Buspirone
How fast does Celexa start to demonstrate effects? - Correct Answer-Improved appetitie and concentration in 1-2 weeks.
What is a major drug to treat bipolar disease? - Correct Answer-Lithium
Blood levels need to be monitored with Lithium because why? - Correct Answer-Lithium has a narrow therapeutic range so it is important to recognize toxicity
What are symptoms of lithium toxicity? - Correct Answer-Drowsiness and Nausea
What dietary teaching needs to be done with patients taking lithium? - Correct Answer-
Salt intake needs to be consistent
What are the side effects of SSRIs (selective seratonin reuptake inhibitor)? - Correct Answer-N/V, dizziness, light headedness, dry mouth, increased sweating, weight changes, agitation, sexual side effects.
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
1. Steven's Johnson
2. 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.
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
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? - Correct Answer-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? - Correct Answer-Hypertensive crisis
What are the side effects of tricyclic antidepressants? - Correct Answer-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 - Correct Answer-2-6 weeks
SSRIs may cause what onset of action symptoms? - Correct Answer-Nausea, but this will usually resolve in a week.
What is one thing you should not do with SSRIs? - Correct Answer-Drink alcohol
What should happen when going off an SSRI? - Correct Answer-Wean slowly, do not stop abruptly
What medications would a patient with depression and anxiety respond well to? - Correct Answer-Buspar and an SSRI combined
Celexa (Citalopram)
Lexapro (Escitalopram)
Why should you combine an SSRI with Buspar? - Correct Answer-Buspar augments the
SSRI and is a good combo for anxiety and depression
What is a first line drug for mild to moderate generalized anxiety disorder? - Correct Answer-Buspirone
How fast does Celexa start to demonstrate effects? - Correct Answer-Improved appetitie and concentration in 1-2 weeks.
What is a major drug to treat bipolar disease? - Correct Answer-Lithium
Blood levels need to be monitored with Lithium because why? - Correct Answer-Lithium has a narrow therapeutic range so it is important to recognize toxicity
What are symptoms of lithium toxicity? - Correct Answer-Drowsiness and Nausea
What dietary teaching needs to be done with patients taking lithium? - Correct Answer-
Salt intake needs to be consistent
What are the side effects of SSRIs (selective seratonin reuptake inhibitor)? - Correct Answer-N/V, dizziness, light headedness, dry mouth, increased sweating, weight changes, agitation, sexual side effects.
