Maryville NUR 615 Exam 2 | Questions with 100% Verified Answers | Latest
Update
Question: What lab values should be monitored with Carbamazepine (Tegretol)?
Answer:
CBC every 3-4 months
Question: What can Carbamazepine (Tegretol) cause in labs findings?
Answer:
Leukopenia, thrombocytopenia, aplastic anemia, and agranulocytosis due to bone marrow depression
Question: What are the pharamacodynamics of Carbamazepine (Tegretol)?
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.
Question: What is the peak and half life of Carbamazepine (Tegretol)?
Answer:
Peak: 6 hours Half Life: 65 hours initially, 12-17 hours with continued administration
Question: What should families be taught regarding the monitoring of seizure activity?
Answer:
Safety and prevention. Do not stop medications abruptly.
Question: What electrolyte imbalance is found with Topiramate (Topimax)?
Answer:
Decrease in bicarbonate
Question: What are the pregnancy precautions for Valproate (Depakote)?
Answer:
Should only be used when a womans life would be endangered without it.
Question: What can Valproate (Depakote) cause in the first trimester?
Answer:
Neural tube defects including spina bifida
, Question: What instructions will you provide to a woman who wants to get pregnant and has a seizure
disorder controlled by Valproate (Depakote)?
Answer:
This medication can not be taken during the first trimester or during lactation. Switch to another
medication such as keppra.
Question: What are the precautions and contraindications for tricyclic antidepressants?
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.
Question: What is Phenalzine (Nardil)?
Answer:
MAOI
Question: What are the cautions and contraindications of Phenelzine (Nardil)?
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.
Question: What are symptoms of a hypertensive crisis?
Answer:
Headache, heart palpitations, stiff/sore neck, chest tightness, tachycardia, sweating, and dilated pupils
Question: How long does it take for selective serotonin reuptake inhibitors to produce an effect in
patients with depression?
Answer:
2-6 weeks
Question: When is Buspirone (Buspar) and an SSRI combined?
Answer:
For treatment-resistant depression due to combined serotogenic mechanisms. This medication can
compliment SSRIs.
Question: What type of diet is recommended with administration of Lithium?
Update
Question: What lab values should be monitored with Carbamazepine (Tegretol)?
Answer:
CBC every 3-4 months
Question: What can Carbamazepine (Tegretol) cause in labs findings?
Answer:
Leukopenia, thrombocytopenia, aplastic anemia, and agranulocytosis due to bone marrow depression
Question: What are the pharamacodynamics of Carbamazepine (Tegretol)?
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.
Question: What is the peak and half life of Carbamazepine (Tegretol)?
Answer:
Peak: 6 hours Half Life: 65 hours initially, 12-17 hours with continued administration
Question: What should families be taught regarding the monitoring of seizure activity?
Answer:
Safety and prevention. Do not stop medications abruptly.
Question: What electrolyte imbalance is found with Topiramate (Topimax)?
Answer:
Decrease in bicarbonate
Question: What are the pregnancy precautions for Valproate (Depakote)?
Answer:
Should only be used when a womans life would be endangered without it.
Question: What can Valproate (Depakote) cause in the first trimester?
Answer:
Neural tube defects including spina bifida
, Question: What instructions will you provide to a woman who wants to get pregnant and has a seizure
disorder controlled by Valproate (Depakote)?
Answer:
This medication can not be taken during the first trimester or during lactation. Switch to another
medication such as keppra.
Question: What are the precautions and contraindications for tricyclic antidepressants?
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.
Question: What is Phenalzine (Nardil)?
Answer:
MAOI
Question: What are the cautions and contraindications of Phenelzine (Nardil)?
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.
Question: What are symptoms of a hypertensive crisis?
Answer:
Headache, heart palpitations, stiff/sore neck, chest tightness, tachycardia, sweating, and dilated pupils
Question: How long does it take for selective serotonin reuptake inhibitors to produce an effect in
patients with depression?
Answer:
2-6 weeks
Question: When is Buspirone (Buspar) and an SSRI combined?
Answer:
For treatment-resistant depression due to combined serotogenic mechanisms. This medication can
compliment SSRIs.
Question: What type of diet is recommended with administration of Lithium?
