Maryville NURS 615 Pharm 2 exam with all the correct answers (100% Verified 2020/2021 exam)

Maryville NURS 615 Pharm 2 exam with all the correct answers (100% Verified 2020/2021 exam) Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? Correct Answer- Carbamazepine auto-induces metabolism, leading to lower levels despite good compliance What are the black box warnings for Carbamazepine? Correct Answer- Dermatologic reactions 1. Steven's Johnson 2. Toxic epidermal necrolysis What lab test should be ordered for patients on Carbamazepine? Correct 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? Correct Answer- Prevention is important, patient safety is important, Do NOT abruptly stop taking medication. Ethosuximide (Zarontin), an anti-seizure medication can cause what? Correct Answer- Blood dyscrasias Patients taking Topiramate need to be monitored for what electrolyte imbalance? Correct Answer- Decreased sodium bicarb leading to hyperchloremic metabolic acidosis Topiramate treats seizures and what is one common side effect? Correct Answer- Normal side effect is weight loss, especially in higher dose patients A child on Topiramate that wants to play sports should monitor what? Correct 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)? Correct 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.