Maryville NURS 615 Pharm Exam 2 Exam Questions With Correct Verified Answers

Maryville NURS 615 Pharm Exam 2 Exam Questions With Correct Verified Answers Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? - ANSWER Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance What are the black box warnings for Carbamazepine? - ANSWER Dermatologic reactions 1. Steven's Johnson 2. Toxic epidermal necrolysis What lab test should be ordered for patients on Carbamazepine? - 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? - ANSWER Prevention is important, patient safety is important, Do NOT abruptly stop taking medication. Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ANSWER Blood dyscrasias Patients taking Topiramate need to be monitored for what electrolyte imbalance? - ANSWER Decreased sodium bicarb leading to hyperchloremic metabolic acidosis Topiramate treats seizures and what is one common side effect? - ANSWER Normal side effect is weight loss, especially in higher dose patients A child on Topiramate that wants to play sports should monitor what? - 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)? - 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? - ANSWER Heart Disease patients Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? - 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? - ANSWER Hypertensive crisis What are the side effects of tricyclic antidepressants? - ANSWER Anticholinergic type effects like dry mouth, sedation, constipation, increased appetite, blurred vision, tinnitus, euphoria, mania How long does it take for SSRIs to take effect - ANSWER 2-6 weeks SSRIs may cause what onset of action symptoms? - ANSWER Nausea, but this will usually resolve in a week. What is one thing you should not do with SSRIs? - ANSWER Drink alcohol What should happen when going off an SSRI? - ANSWER Wean slowly, do not stop abruptly What medications would a patient with depression and anxiety respond well to? - ANSWER Buspar and an SSRI combined Celexa (Citalopram) Lexapro (Escitalopram) Why should you combine an SSRI with Buspar? - ANSWER Buspar augments the S