Braincrafts
Maryville NURS 615 Pharm Exam 2 with complete
solutions 2024 Graded A+
What blood values should be monitored with carbamazepine (Tegretol)? - (answers)CBC test
every 3-4 months to monitor for decrease in WBCs, platelets, and trouble with RBC production.
What are the pharmacodynamics of carbamazepine (Tegretol)? - (answers)- Auto-metabolizes
leading to lower serum levels despite compliance.
- Half-life 30 hours as single dose, 15 hours when given repeatedly.
What are the Black Box Warnings for carbamazepine (Tegretol)? - (answers)- Stevens-Johnson
Syndrome (SJS)
- Toxic Epidermal Necrolysis (TEN)
Carbamazepine (Tegretol) is what type of drug? - (answers)Anticonvulsant drug
What should families be taught regarding the monitoring of seizure activity? - (answers)-
Prevention of seizures
- Patient Safety
- Quality of life issues
- Do not discontinue medication due to increased risk of seizures
What electrolyte imbalance is noted with the administration of topiramate (Topamax)? -
(answers)Decrease in sodium bicarbonate leading to hyperchloremic metabolic acidosis.
What are adverse effects of topiramate (Topamax)? - (answers)- Weight loss, especially in
higher dose patients
- May affect ability to sweat
,Braincrafts
What are pregnancy precautions for valproate (Depakote)? - (answers)- Pregnancy Category X
- Teratogen (an agent that causes malformation of an embryo)
What instructions will you provide to a woman who wants to get pregnant and has a seizure
disorder controlled with valproate (Depakote)? - (answers)- Pregnant women should be advised
to switch to another anticonvulsant during the first trimester, such as levetiracetam (Keppra),
then switch back to volproate (Depakote) in the second trimester.
- All anticonvulsants for pregnant women should be monitored by a high-risk obstetrician.
What are precautions and contraindications for tricyclic antidepressants? - (answers)- Caution
cardiac disease patients (may act as an antiarrhythmic)
- HTN, tachycardia, and convulsions when used with MAOIs
What are adverse effects of tricyclic antidepressants? - (answers)- Anticholinergic effects (dry
mouth, sedation, constipation, increased appetite, blurred vision, tinnitus, euphoria, and mania)
Phenylzine (Nardil) is an MAOI. What are the precautions and contraindications? - (answers)-
Avoid foods high in tyramine (fermented foods, wine, alcohol, aged cheeses, yogurt, soy sauce,
summer sausage, processed meats, etc.)
- Avoid St. John's Wort (Serotonin Syndrome)
-Many other drug-drug interactions
How long does it take to clear an MAOI from the body? - (answers)2 full weeks, 5 weeks before
using fluoxetine (Prozac)
What are the symptoms of hypertensive crisis? - (answers)Headache, heart palpitations, stiff or
sore neck, chest tightness, tachycardia, sweating, and dilated pupils. Can be life threatening.
, Braincrafts
How long does it take for SSRIs to produce an effect for depression? - (answers)2 - 6 weeks
(most are full effect at 4 weeks)
When are buspirone (Buspar) and an SSRI combined? - (answers)Treatment of anxious or
agitated depression
What type of diet is recommended for lithium? - (answers)Consistent sodium intake diet
Adverse effects of MAOIs - (answers)- CNS stimulation
- Orthostatic hypotension
- Hypertensive crisis
Adverse effects of SSRIs - (answers)- Anxiety
-Nervousness
- Insomnia
- Suicidal thoughts
- Sexual dysfunction
- Serotonin syndrome
What is the first line drug of choice for mild to moderate generalized anxiety disorder? -
(answers)buspirone (Buspar)
Adverse effects of SNRIs - (answers)- Headache
- Abnormal dreams
- Abnormal ejaculation
- Serotonin syndrome
Maryville NURS 615 Pharm Exam 2 with complete
solutions 2024 Graded A+
What blood values should be monitored with carbamazepine (Tegretol)? - (answers)CBC test
every 3-4 months to monitor for decrease in WBCs, platelets, and trouble with RBC production.
What are the pharmacodynamics of carbamazepine (Tegretol)? - (answers)- Auto-metabolizes
leading to lower serum levels despite compliance.
- Half-life 30 hours as single dose, 15 hours when given repeatedly.
What are the Black Box Warnings for carbamazepine (Tegretol)? - (answers)- Stevens-Johnson
Syndrome (SJS)
- Toxic Epidermal Necrolysis (TEN)
Carbamazepine (Tegretol) is what type of drug? - (answers)Anticonvulsant drug
What should families be taught regarding the monitoring of seizure activity? - (answers)-
Prevention of seizures
- Patient Safety
- Quality of life issues
- Do not discontinue medication due to increased risk of seizures
What electrolyte imbalance is noted with the administration of topiramate (Topamax)? -
(answers)Decrease in sodium bicarbonate leading to hyperchloremic metabolic acidosis.
What are adverse effects of topiramate (Topamax)? - (answers)- Weight loss, especially in
higher dose patients
- May affect ability to sweat
,Braincrafts
What are pregnancy precautions for valproate (Depakote)? - (answers)- Pregnancy Category X
- Teratogen (an agent that causes malformation of an embryo)
What instructions will you provide to a woman who wants to get pregnant and has a seizure
disorder controlled with valproate (Depakote)? - (answers)- Pregnant women should be advised
to switch to another anticonvulsant during the first trimester, such as levetiracetam (Keppra),
then switch back to volproate (Depakote) in the second trimester.
- All anticonvulsants for pregnant women should be monitored by a high-risk obstetrician.
What are precautions and contraindications for tricyclic antidepressants? - (answers)- Caution
cardiac disease patients (may act as an antiarrhythmic)
- HTN, tachycardia, and convulsions when used with MAOIs
What are adverse effects of tricyclic antidepressants? - (answers)- Anticholinergic effects (dry
mouth, sedation, constipation, increased appetite, blurred vision, tinnitus, euphoria, and mania)
Phenylzine (Nardil) is an MAOI. What are the precautions and contraindications? - (answers)-
Avoid foods high in tyramine (fermented foods, wine, alcohol, aged cheeses, yogurt, soy sauce,
summer sausage, processed meats, etc.)
- Avoid St. John's Wort (Serotonin Syndrome)
-Many other drug-drug interactions
How long does it take to clear an MAOI from the body? - (answers)2 full weeks, 5 weeks before
using fluoxetine (Prozac)
What are the symptoms of hypertensive crisis? - (answers)Headache, heart palpitations, stiff or
sore neck, chest tightness, tachycardia, sweating, and dilated pupils. Can be life threatening.
, Braincrafts
How long does it take for SSRIs to produce an effect for depression? - (answers)2 - 6 weeks
(most are full effect at 4 weeks)
When are buspirone (Buspar) and an SSRI combined? - (answers)Treatment of anxious or
agitated depression
What type of diet is recommended for lithium? - (answers)Consistent sodium intake diet
Adverse effects of MAOIs - (answers)- CNS stimulation
- Orthostatic hypotension
- Hypertensive crisis
Adverse effects of SSRIs - (answers)- Anxiety
-Nervousness
- Insomnia
- Suicidal thoughts
- Sexual dysfunction
- Serotonin syndrome
What is the first line drug of choice for mild to moderate generalized anxiety disorder? -
(answers)buspirone (Buspar)
Adverse effects of SNRIs - (answers)- Headache
- Abnormal dreams
- Abnormal ejaculation
- Serotonin syndrome
