Maryville NURS 615 Pharm Exam 2 ACTUAL EXAM 2023.

1. Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what?: Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance 2. What are the black box warnings for Carbamazepine?: Dermatologic reactions 1. Steven's Johnson 2. Toxic epidermal necrolysis 3. What lab test should be ordered for patients on Carbamazepine?: CBC every 3-4 months because it can cause decreased WBC, decreased platelets, and trouble with RBC 4. What kind of teaching needs to be done with families of patients who have seizure disorders?: Prevention is important, patient safety is important, Do NOT abruptly stop taking medication. 5. Ethosuximide (Zarontin), an anti-seizure medication can cause what?: - Blood dyscrasias 6. Patients taking Topiramate need to be monitored for what electrolyte imbalance?: Decreased sodium bicarb leading to hyperchloremic metabolic acidosis 7. Topiramate treats seizures and what is one common side effect?: Normal side effect is weight loss, especially in higher dose patients 8. A child on Topiramate that wants to play sports should monitor what?: - Don't get overheated. Topiramate may affect his ability to sweat in the heat. 9. What should a pregnant patient be told about taking Valproate (Depakote)?: 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. 10. What patient population should tricyclic antidepressants be used cautiously in?: Heart Disease patients 11. Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication?: He should not use serotonergic drugs like Imitrex. Also, this class of medication interacts with yogurt, sour cream, soy sauce, etc. 12. Phenelzine (Nardil) may cause what if there is an interaction with known contraindicated foods?: Hypertensive crisis 13. What are the side effects of tricy