Maryville NURS 615 Pharm Exam 2, 2026/2027 Actual
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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.
Ethosuximide (Zarontin), an anti-seizure medication can
cause what? - Answer-Blood dyscrasias
Patients taking Topiramate need to be monitored for what
electrolyte imbalance? - Answer-Decreased sodium bicarb
leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side
effect? - Answer-Normal side effect is weight loss,
especially in higher dose patients
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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.
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.
Carbamazepine (Tegretol) can sometimes show
subtherapeutic range due to what? - Answer-
Carbamazepine auto-induces metabolism, leading to
lower levels despite good compliance
What are the black box warnings for Carbamazepine? -
Answer-Dermatologic reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
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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What patient population should tricyclic antidepressants
be used cautiously in? - Answer-Heart Disease patients
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.
Phenelzine (Nardil) may cause what if there is an
interaction with known contraindicated foods? - Answer-
Hypertensive crisis
What are the side effects of tricyclic antidepressants? -
Answer-Anticholinergic type effects like dry mouth,
sedation, constipation, increased appetite, blurred vision,
tinnitus, euphoria, mania
How long does it take for SSRIs to take effect - Answer-2-
6 weeks
SSRIs may cause what onset of action symptoms? -
Answer-Nausea, but this will usually resolve in a week.