MARYVILLE NURS 615 PHARM
EXAM 2 UPDATE 2026
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
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
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
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.
Why should you combine an SSRI with Buspar? - answer- Buspar augments the SSRI and is
a good combo for anxiety and depression
What is a first line drug for mild to moderate generalized anxiety disorder? - answer-
Buspirone
How fast does Celexa start to demonstrate effects? - answer- Improved appetitie and
concentration in 1-2 weeks.
What is a major drug to treat bipolar disease? - answer- Lithium
Blood levels need to be monitored with Lithium because why? - answer- Lithium has a
narrow therapeutic range so it is important to recognize toxicity
What are symptoms of lithium toxicity? - answer- Drowsiness and Nausea
EXAM 2 UPDATE 2026
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
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
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
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.
Why should you combine an SSRI with Buspar? - answer- Buspar augments the SSRI and is
a good combo for anxiety and depression
What is a first line drug for mild to moderate generalized anxiety disorder? - answer-
Buspirone
How fast does Celexa start to demonstrate effects? - answer- Improved appetitie and
concentration in 1-2 weeks.
What is a major drug to treat bipolar disease? - answer- Lithium
Blood levels need to be monitored with Lithium because why? - answer- Lithium has a
narrow therapeutic range so it is important to recognize toxicity
What are symptoms of lithium toxicity? - answer- Drowsiness and Nausea
