NURS 615 Pharm Exam 2
NURS 615 Pharm Exam 2
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
, NURS 615 Pharm Exam 2
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
NURS 615 Pharm Exam 2
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
, NURS 615 Pharm Exam 2
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
