Maryville NUR 615 Exam 2 Questions
With Correct Answers
What |lab |values |should |be |monitored |with |Carbamazepine |(Tegretol)? |- |CORRECT |
ANSWER✔✔-CBC |every |3-4 |months
What |can |Carbamazepine |(Tegretol) |cause |in |labs |findings? |- |CORRECT |ANSWER✔✔-
Leukopenia, |thrombocytopenia, |aplastic |anemia, |and |agranulocytosis |due |to |bone |marrow |
depression
What |are |the |pharamacodynamics |of |Carbamazepine |(Tegretol)? |- |CORRECT |ANSWER✔✔-
Thought |to |effect |sodium |channels, |slowing |the |influx |of |sodium |in |the |cortical |neurons |and |
slowing |the |spread |of |abnormal |activity. |It |exerts |its |effects |by |depression |transmission |in |the |
nuclus |ventralis |anterior |to |the |thalamus. |causes |autoinduced |metabolism.
What |is |the |peak |and |half |life |of |Carbamazepine |(Tegretol)? |- |CORRECT |ANSWER✔✔-Peak: |6 |
hours
Half |Life: |65 |hours |initially, |12-17 |hours |with |continued |administration
What |should |families |be |taught |regarding |the |monitoring |of |seizure |activity? |- |CORRECT |
ANSWER✔✔-Safety |and |prevention. |Do |not |stop |medications |abruptly.
What |electrolyte |imbalance |is |found |with |Topiramate |(Topimax)? |- |CORRECT |ANSWER✔✔-
Decrease |in |bicarbonate
What |are |the |pregnancy |precautions |for |Valproate |(Depakote)? |- |CORRECT |ANSWER✔✔-
Should |only |be |used |when |a |womans |life |would |be |endangered |without |it.
, What |can |Valproate |(Depakote) |cause |in |the |first |trimester? |- |CORRECT |ANSWER✔✔-Neural |
tube |defects |including |spina |bifida
What |instructions |will |you |provide |to |a |woman |who |wants |to |get |pregnant |and |has |a |seizure |
disorder |controlled |by |Valproate |(Depakote)? |- |CORRECT |ANSWER✔✔-This |medication |can |not
|be |taken |during |the |first |trimester |or |during |lactation. |Switch |to |another |medication |such |as |
keppra.
What |are |the |precautions |and |contraindications |for |tricyclic |antidepressants? |- |CORRECT |
ANSWER✔✔-Patients |with |cardiovascular |disorders. |Can |act |as |antiarrythmics. |May |be |used |
with |caution |in |glaucoma, |prostatic |hypertrophy, |or |urinary |incontinence
Should |not |be |prescribed |in |combination |with |MAOI's |or |with |demonstrated |hypersensitivity |
to |this |drug |class. |Can |cause |dry |mouth, |sedation, |euphoria, |and |constipation, |and |tinnitus.
What |is |Phenalzine |(Nardil)? |- |CORRECT |ANSWER✔✔-MAOI
What |are |the |cautions |and |contraindications |of |Phenelzine |(Nardil)? |- |CORRECT |ANSWER✔✔-
Contraindications |include |liver |disease, |kidney |disease, |hypersensitivity, |CHF, |atherosclerotic |
disease, |and |>60 |years |of |age
Should |be |avoided |in |patients |who |are |impulsive, |cognitively |impaired, |or |cannot |follow |
dietary |restrictions. |These |medications |inhibit |the |MAO. |Treat |a-typical |depression. |Often |used
|as |a |last |line |of |treatment. |Patients |should |avoid |tyrmaine |rich |foods.
What |are |symptoms |of |a |hypertensive |crisis? |- |CORRECT |ANSWER✔✔-Headache, |heart |
palpitations, |stiff/sore |neck, |chest |tightness, |tachycardia, |sweating, |and |dilated |pupils
How |long |does |it |take |for |selective |serotonin |reuptake |inhibitors |to |produce |an |effect |in |
patients |with |depression? |- |CORRECT |ANSWER✔✔-2-6 |weeks
With Correct Answers
What |lab |values |should |be |monitored |with |Carbamazepine |(Tegretol)? |- |CORRECT |
ANSWER✔✔-CBC |every |3-4 |months
What |can |Carbamazepine |(Tegretol) |cause |in |labs |findings? |- |CORRECT |ANSWER✔✔-
Leukopenia, |thrombocytopenia, |aplastic |anemia, |and |agranulocytosis |due |to |bone |marrow |
depression
What |are |the |pharamacodynamics |of |Carbamazepine |(Tegretol)? |- |CORRECT |ANSWER✔✔-
Thought |to |effect |sodium |channels, |slowing |the |influx |of |sodium |in |the |cortical |neurons |and |
slowing |the |spread |of |abnormal |activity. |It |exerts |its |effects |by |depression |transmission |in |the |
nuclus |ventralis |anterior |to |the |thalamus. |causes |autoinduced |metabolism.
What |is |the |peak |and |half |life |of |Carbamazepine |(Tegretol)? |- |CORRECT |ANSWER✔✔-Peak: |6 |
hours
Half |Life: |65 |hours |initially, |12-17 |hours |with |continued |administration
What |should |families |be |taught |regarding |the |monitoring |of |seizure |activity? |- |CORRECT |
ANSWER✔✔-Safety |and |prevention. |Do |not |stop |medications |abruptly.
What |electrolyte |imbalance |is |found |with |Topiramate |(Topimax)? |- |CORRECT |ANSWER✔✔-
Decrease |in |bicarbonate
What |are |the |pregnancy |precautions |for |Valproate |(Depakote)? |- |CORRECT |ANSWER✔✔-
Should |only |be |used |when |a |womans |life |would |be |endangered |without |it.
, What |can |Valproate |(Depakote) |cause |in |the |first |trimester? |- |CORRECT |ANSWER✔✔-Neural |
tube |defects |including |spina |bifida
What |instructions |will |you |provide |to |a |woman |who |wants |to |get |pregnant |and |has |a |seizure |
disorder |controlled |by |Valproate |(Depakote)? |- |CORRECT |ANSWER✔✔-This |medication |can |not
|be |taken |during |the |first |trimester |or |during |lactation. |Switch |to |another |medication |such |as |
keppra.
What |are |the |precautions |and |contraindications |for |tricyclic |antidepressants? |- |CORRECT |
ANSWER✔✔-Patients |with |cardiovascular |disorders. |Can |act |as |antiarrythmics. |May |be |used |
with |caution |in |glaucoma, |prostatic |hypertrophy, |or |urinary |incontinence
Should |not |be |prescribed |in |combination |with |MAOI's |or |with |demonstrated |hypersensitivity |
to |this |drug |class. |Can |cause |dry |mouth, |sedation, |euphoria, |and |constipation, |and |tinnitus.
What |is |Phenalzine |(Nardil)? |- |CORRECT |ANSWER✔✔-MAOI
What |are |the |cautions |and |contraindications |of |Phenelzine |(Nardil)? |- |CORRECT |ANSWER✔✔-
Contraindications |include |liver |disease, |kidney |disease, |hypersensitivity, |CHF, |atherosclerotic |
disease, |and |>60 |years |of |age
Should |be |avoided |in |patients |who |are |impulsive, |cognitively |impaired, |or |cannot |follow |
dietary |restrictions. |These |medications |inhibit |the |MAO. |Treat |a-typical |depression. |Often |used
|as |a |last |line |of |treatment. |Patients |should |avoid |tyrmaine |rich |foods.
What |are |symptoms |of |a |hypertensive |crisis? |- |CORRECT |ANSWER✔✔-Headache, |heart |
palpitations, |stiff/sore |neck, |chest |tightness, |tachycardia, |sweating, |and |dilated |pupils
How |long |does |it |take |for |selective |serotonin |reuptake |inhibitors |to |produce |an |effect |in |
patients |with |depression? |- |CORRECT |ANSWER✔✔-2-6 |weeks
