Maryville NURS 615 Exam 2 Latest 2024/2025 Questions & Answers Verified Answers (100% CORRECT ANSWERS)

What blood values should be monitored with carbamazepine (Tegretol)? - CORRECT ANSWER CBC test every 3-4 months to monitor for decrease in WBCs, platelets, and trouble with RBC production. What are the pharmacodynamics of carbamazepine (Tegretol)? - CORRECT ANSWER - Auto-metabolizes leading to lower serum levels despite compliance. - Half-life 30 hours as single dose, 15 hours when given repeatedly. What are the Black Box Warnings for carbamazepine (Tegretol)? - CORRECT ANSWER - Stevens-Johnson Syndrome (SJS) - Toxic Epidermal Necrolysis (TEN) Carbamazepine (Tegretol) is what type of drug? - CORRECT ANSWER Anticonvulsant drug What should families be taught regarding the monitoring of seizure activity? - CORRECT ANSWER - Prevention of seizures - Patient Safety - Quality of life issues - Do not discontinue medication due to increased risk of seizures What electrolyte imbalance is noted with the administration of topiramate (Topamax)? - CORRECT ANSWER Decrease in sodium bicarbonate leading to hyperchloremic metabolic acidosis. What are adverse effects of topiramate (Topamax)? - CORRECT ANSWER - Weight loss, especially in higher dose patients - May affect ability to sweat What are pregnancy precautions for valproate (Depakote)? - CORRECT ANSWER - Pregnancy Category X - Teratogen (an agent that causes malformation of an embryo)