Maryville NURS 615 Pharm Exam 2
questions with answers
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? - ** VERIFIED
ANSWERS **✔✔Carbamazepine auto-induces metabolism, leading to lower levels despite good
compliance
What are the black box warnings for Carbamazepine? - ** VERIFIED ANSWERS **✔✔Dermatologic
reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on Carbamazepine? - ** VERIFIED ANSWERS
**✔✔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? - **
VERIFIED ANSWERS **✔✔Prevention is important, patient safety is important, Do NOT abruptly
stop taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ** VERIFIED ANSWERS
**✔✔Blood dyscrasias
Patients taking Topiramate need to be monitored for what electrolyte imbalance? - ** VERIFIED
ANSWERS **✔✔Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side effect? - ** VERIFIED ANSWERS
**✔✔Normal side effect is weight loss, especially in higher dose patients
A child on Topiramate that wants to play sports should monitor what? - ** VERIFIED ANSWERS
**✔✔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)? - ** VERIFIED
ANSWERS **✔✔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.
What patient population should tricyclic antidepressants be used cautiously in? - ** VERIFIED
ANSWERS **✔✔Heart Disease patients
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? - **
VERIFIED ANSWERS **✔✔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? - **
VERIFIED ANSWERS **✔✔Hypertensive crisis
What are the side effects of tricyclic antidepressants? - ** VERIFIED ANSWERS
**✔✔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 - ** VERIFIED ANSWERS **✔✔2-6 weeks
SSRIs may cause what onset of action symptoms? - ** VERIFIED ANSWERS **✔✔Nausea, but this
will usually resolve in a week.
What is one thing you should not do with SSRIs? - ** VERIFIED ANSWERS **✔✔Drink alcohol
What should happen when going off an SSRI? - ** VERIFIED ANSWERS **✔✔Wean slowly, do not
stop abruptly
What medications would a patient with depression and anxiety respond well to? - ** VERIFIED
ANSWERS **✔✔Buspar and an SSRI combined
Celexa (Citalopram)
questions with answers
Carbamazepine (Tegretol) can sometimes show subtherapeutic range due to what? - ** VERIFIED
ANSWERS **✔✔Carbamazepine auto-induces metabolism, leading to lower levels despite good
compliance
What are the black box warnings for Carbamazepine? - ** VERIFIED ANSWERS **✔✔Dermatologic
reactions
1. Steven's Johnson
2. Toxic epidermal necrolysis
What lab test should be ordered for patients on Carbamazepine? - ** VERIFIED ANSWERS
**✔✔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? - **
VERIFIED ANSWERS **✔✔Prevention is important, patient safety is important, Do NOT abruptly
stop taking medication.
Ethosuximide (Zarontin), an anti-seizure medication can cause what? - ** VERIFIED ANSWERS
**✔✔Blood dyscrasias
Patients taking Topiramate need to be monitored for what electrolyte imbalance? - ** VERIFIED
ANSWERS **✔✔Decreased sodium bicarb leading to hyperchloremic metabolic acidosis
Topiramate treats seizures and what is one common side effect? - ** VERIFIED ANSWERS
**✔✔Normal side effect is weight loss, especially in higher dose patients
A child on Topiramate that wants to play sports should monitor what? - ** VERIFIED ANSWERS
**✔✔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)? - ** VERIFIED
ANSWERS **✔✔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.
What patient population should tricyclic antidepressants be used cautiously in? - ** VERIFIED
ANSWERS **✔✔Heart Disease patients
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? - **
VERIFIED ANSWERS **✔✔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? - **
VERIFIED ANSWERS **✔✔Hypertensive crisis
What are the side effects of tricyclic antidepressants? - ** VERIFIED ANSWERS
**✔✔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 - ** VERIFIED ANSWERS **✔✔2-6 weeks
SSRIs may cause what onset of action symptoms? - ** VERIFIED ANSWERS **✔✔Nausea, but this
will usually resolve in a week.
What is one thing you should not do with SSRIs? - ** VERIFIED ANSWERS **✔✔Drink alcohol
What should happen when going off an SSRI? - ** VERIFIED ANSWERS **✔✔Wean slowly, do not
stop abruptly
What medications would a patient with depression and anxiety respond well to? - ** VERIFIED
ANSWERS **✔✔Buspar and an SSRI combined
Celexa (Citalopram)
