Maryville NURS 615 Pharm Exam 2
practice test questions correctly defined
a+ guaranteed
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what?
-n
Ans✔
Carbamazepine auto-induces metabolism, leading to lower levels despite good
compliance
Qs
What are the black box warnings for Carbamazepine? - n
Ans✔
Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
Qs
What lab test should be ordered for patients on Carbamazepine? - n
Ans✔
CBC every 3-4 months because it can cause decreased WBC, decreased platelets,
and trouble with RBC
Qs
What kind of teaching needs to be done with families of patients who have seizure
disorders? - n
Ans✔
Prevention is important, patient safety is important, Do NOT abruptly stop taking
medication.
Qs
, Ethosuximide (Zarontin), an anti-seizure medication can cause what? - n
Ans✔
Blood dyscrasias
Qs
Patients taking Topiramate need to be monitored for what electrolyte imbalance? -
n
Ans✔
Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
Qs
Topiramate treats seizures and what is one common side effect? - n
Ans✔
Normal side effect is weight loss, especially in higher dose patients
Qs
A child on Topiramate that wants to play sports should monitor what? - n
Ans✔
Don't get overheated. Topiramate may affect his ability to sweat in the heat.
Qs
What should a pregnant patient be told about taking Valproate (Depakote)? - n
Ans✔
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.
Qs
What patient population should tricyclic antidepressants be used cautiously in? - n
Ans✔
Heart Disease patients
practice test questions correctly defined
a+ guaranteed
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what?
-n
Ans✔
Carbamazepine auto-induces metabolism, leading to lower levels despite good
compliance
Qs
What are the black box warnings for Carbamazepine? - n
Ans✔
Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
Qs
What lab test should be ordered for patients on Carbamazepine? - n
Ans✔
CBC every 3-4 months because it can cause decreased WBC, decreased platelets,
and trouble with RBC
Qs
What kind of teaching needs to be done with families of patients who have seizure
disorders? - n
Ans✔
Prevention is important, patient safety is important, Do NOT abruptly stop taking
medication.
Qs
, Ethosuximide (Zarontin), an anti-seizure medication can cause what? - n
Ans✔
Blood dyscrasias
Qs
Patients taking Topiramate need to be monitored for what electrolyte imbalance? -
n
Ans✔
Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
Qs
Topiramate treats seizures and what is one common side effect? - n
Ans✔
Normal side effect is weight loss, especially in higher dose patients
Qs
A child on Topiramate that wants to play sports should monitor what? - n
Ans✔
Don't get overheated. Topiramate may affect his ability to sweat in the heat.
Qs
What should a pregnant patient be told about taking Valproate (Depakote)? - n
Ans✔
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.
Qs
What patient population should tricyclic antidepressants be used cautiously in? - n
Ans✔
Heart Disease patients
