Maryville NURS 615 Exam 2 Maryville University of Saint Louis | Questions
with 100% Verified Answers | Latest Update
Question: What blood values should be monitored with carbamazepine (Tegretol)?
Answer:
CBC test every 3-4 months to monitor for decrease in WBCs, platelets, and trouble with RBC
production.
Question: What are the pharmacodynamics of carbamazepine (Tegretol)?
Answer:
- Auto-metabolizes leading to lower serum levels despite compliance.
- Half-life 30 hours as single dose, 15 hours when given repeatedly.
Question: What are the Black Box Warnings for carbamazepine (Tegretol)?
Answer:
- Stevens-Johnson Syndrome (SJS)
- Toxic Epidermal Necrolysis (TEN)
Question: Carbamazepine (Tegretol) is what type of drug?
Answer:
Anticonvulsant drug
Question: What should families be taught regarding the monitoring of seizure activity?
Answer:
- Prevention of seizures
- Patient Safety
- Quality of life issues
- Do not discontinue medication due to increased risk of seizures
Question: What electrolyte imbalance is noted with the administration topiramate (Topamax)?
Answer:
of Decrease in sodium bicarbonate leading to hyperchloremic metabolic acidosis.
Question: What are adverse effects of topiramate (Topamax)?
Answer:
- Weight loss, especially in higher dose patients
- May affect ability to sweat
Question: What are pregnancy precautions for valproate (Depakote)?
, Answer:
- Pregnancy Category X
- Teratogen (an agent that causes malformation of an embryo)
Question: What instructions will you provide to a woman who wants to get pregnant and has a seizure
disorder controlled with valproate (Depakote)?
Answer:
- Pregnant women should be advised to switch to another anticonvulsant during the first trimester, such
as levetiracetam (Keppra), then switch back to volproate (Depakote) in the second trimester.
- All anticonvulsants for pregnant women should be monitored by a high-risk obstetrician.
Question: What are precautions and contraindications for tricyclic antidepressants?
Answer:
- Caution cardiac disease patients (may act as an antiarrhythmic)
- HTN, tachycardia, and convulsions when used with MAOIs
Question: What are adverse effects of tricyclic antidepressants?
Answer:
- Anticholinergic effects (dry mouth, sedation, constipation, increased appetite, blurred vision, tinnitus,
euphoria, and mania)
Question: Phenylzine (Nardil) is an MAOI. What are the precautions and contraindications?
Answer:
- Avoid foods high in tyramine (fermented foods, wine, alcohol, aged cheeses, yogurt, soy sauce,
summer sausage, processed meats, etc.)
- Avoid St. John's Wort (Serotonin Syndrome)
-Many other drug-drug interactions
Question: How long does it take to clear an MAOI from the body?
Answer:
2 full weeks, 5 weeks before using fluoxetine (Prozac)
Question: What are the symptoms of hypertensive crisis?
Answer:
Headache, heart palpitations, stiff or sore neck, chest tightness, tachycardia, sweating, and dilated pupils.
Can be life threatening.
Question: How long does it take for SSRIs to produce an effect for depression?
Answer:
with 100% Verified Answers | Latest Update
Question: What blood values should be monitored with carbamazepine (Tegretol)?
Answer:
CBC test every 3-4 months to monitor for decrease in WBCs, platelets, and trouble with RBC
production.
Question: What are the pharmacodynamics of carbamazepine (Tegretol)?
Answer:
- Auto-metabolizes leading to lower serum levels despite compliance.
- Half-life 30 hours as single dose, 15 hours when given repeatedly.
Question: What are the Black Box Warnings for carbamazepine (Tegretol)?
Answer:
- Stevens-Johnson Syndrome (SJS)
- Toxic Epidermal Necrolysis (TEN)
Question: Carbamazepine (Tegretol) is what type of drug?
Answer:
Anticonvulsant drug
Question: What should families be taught regarding the monitoring of seizure activity?
Answer:
- Prevention of seizures
- Patient Safety
- Quality of life issues
- Do not discontinue medication due to increased risk of seizures
Question: What electrolyte imbalance is noted with the administration topiramate (Topamax)?
Answer:
of Decrease in sodium bicarbonate leading to hyperchloremic metabolic acidosis.
Question: What are adverse effects of topiramate (Topamax)?
Answer:
- Weight loss, especially in higher dose patients
- May affect ability to sweat
Question: What are pregnancy precautions for valproate (Depakote)?
, Answer:
- Pregnancy Category X
- Teratogen (an agent that causes malformation of an embryo)
Question: What instructions will you provide to a woman who wants to get pregnant and has a seizure
disorder controlled with valproate (Depakote)?
Answer:
- Pregnant women should be advised to switch to another anticonvulsant during the first trimester, such
as levetiracetam (Keppra), then switch back to volproate (Depakote) in the second trimester.
- All anticonvulsants for pregnant women should be monitored by a high-risk obstetrician.
Question: What are precautions and contraindications for tricyclic antidepressants?
Answer:
- Caution cardiac disease patients (may act as an antiarrhythmic)
- HTN, tachycardia, and convulsions when used with MAOIs
Question: What are adverse effects of tricyclic antidepressants?
Answer:
- Anticholinergic effects (dry mouth, sedation, constipation, increased appetite, blurred vision, tinnitus,
euphoria, and mania)
Question: Phenylzine (Nardil) is an MAOI. What are the precautions and contraindications?
Answer:
- Avoid foods high in tyramine (fermented foods, wine, alcohol, aged cheeses, yogurt, soy sauce,
summer sausage, processed meats, etc.)
- Avoid St. John's Wort (Serotonin Syndrome)
-Many other drug-drug interactions
Question: How long does it take to clear an MAOI from the body?
Answer:
2 full weeks, 5 weeks before using fluoxetine (Prozac)
Question: What are the symptoms of hypertensive crisis?
Answer:
Headache, heart palpitations, stiff or sore neck, chest tightness, tachycardia, sweating, and dilated pupils.
Can be life threatening.
Question: How long does it take for SSRIs to produce an effect for depression?
Answer:
