Maryville NURS 615 Pharm Exam 2 Maryville University of Saint Louis |
Questions with 100% Verified Answers | Latest Update
Question: Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what?
Answer:
Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance
Question: What are the black box warnings for Carbamazepine?
Answer:
Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
Question: 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
Question: 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.
Question: Ethosuximide (Zarontin), an anti-seizure medication can cause what?
Answer:
Blood dyscrasias
Question: Patients taking Topiramate need to be monitored for what electrolyte imbalance?
Answer:
Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
Question: Topiramate treats seizures and what is one common side effect?
Answer:
Normal side effect is weight loss, especially in higher dose patients
Question: 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.
Question: 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.
Question: What patient population should tricyclic antidepressants be used cautiously in?
Answer:
Heart Disease patients
Question: 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.
Question: Phenelzine (Nardil) may cause what if there is an interaction with known contraindicated
foods?
Answer:
Hypertensive crisis
Question: What are the side effects of tricyclic antidepressants?
Answer:
Anticholinergic type effects like dry mouth, sedation, constipation, increased appetite, blurred vision,
tinnitus, euphoria, mania
Question: How long does it take for SSRIs to take effect
Answer:
2-6 weeks
Question: SSRIs may cause what onset of action symptoms?
Answer:
Nausea, but this will usually resolve in a week.
Question: What is one thing you should not do with SSRIs?
Answer:
Drink alcohol
Question: What should happen when going off an SSRI?
Answer:
Wean slowly, do not stop abruptly
Questions with 100% Verified Answers | Latest Update
Question: Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what?
Answer:
Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance
Question: What are the black box warnings for Carbamazepine?
Answer:
Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
Question: 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
Question: 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.
Question: Ethosuximide (Zarontin), an anti-seizure medication can cause what?
Answer:
Blood dyscrasias
Question: Patients taking Topiramate need to be monitored for what electrolyte imbalance?
Answer:
Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
Question: Topiramate treats seizures and what is one common side effect?
Answer:
Normal side effect is weight loss, especially in higher dose patients
Question: 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.
Question: 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.
Question: What patient population should tricyclic antidepressants be used cautiously in?
Answer:
Heart Disease patients
Question: 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.
Question: Phenelzine (Nardil) may cause what if there is an interaction with known contraindicated
foods?
Answer:
Hypertensive crisis
Question: What are the side effects of tricyclic antidepressants?
Answer:
Anticholinergic type effects like dry mouth, sedation, constipation, increased appetite, blurred vision,
tinnitus, euphoria, mania
Question: How long does it take for SSRIs to take effect
Answer:
2-6 weeks
Question: SSRIs may cause what onset of action symptoms?
Answer:
Nausea, but this will usually resolve in a week.
Question: What is one thing you should not do with SSRIs?
Answer:
Drink alcohol
Question: What should happen when going off an SSRI?
Answer:
Wean slowly, do not stop abruptly
