Maryville NURS 615 Pharm Exam 2
Questions & Answers
1. Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to
what?
Answer Carbamazepine auto-induces metabolism, leading to lower levels despite good
compliance
2. What are the black box warnings for Carbamazepine?
Answer Dermatologic reac- tions
1. Steven's Johnson
2. Toxic epidermal necrolysis
3. 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
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4. 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.
5. Ethosuximide (Zarontin), an anti-seizure medication can cause what?
Answer Blood dyscrasias
6. Patients takingTopiramate need to be monitored for what electrolyte imbal-
ance?
Answer Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
7. Topiramate treats seizures and what is one common side effect?
Answer Normal side effect is weight loss, especially in higher dose patients
8. A child onTopiramate that wants to play sports should monitor what?
Answer Don't get overheated. Topiramate may affect his ability to sweat in the heat.
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