Maryville University Pharmacology
NURS-615 Exam 2 Questions With
100% Complete Solutions Rated A+
How does carbamazepine work? - ANSWER-Works by decreasing nerve impulses that
cause seizures and pain
What is metronidazole used for? - ANSWER-PID, endocarditis, bacterial vaginosis,
giardiasis, trichomonad, amebiasis
What is the drug of choice for the first episode of mild-moderate C. Diff? - ANSWER-
Metronidazole (Flagyl)
What should not be ingested with metronidazole (Flagyl)? - ANSWER-Alcohol -- causes
a disulfiram-like reaction
What is a disulfiram-like reaction? - ANSWER-N/V, flushing of skin, tachycardia, SOB
How long should alcohol be avoided after metronidazole treatment? - ANSWER-At least
48 hours
Metronidazole inhibits liver metabolism of propylene glycol and should not be used with
what? - ANSWER-Meds like Miralax and E-Cigs; could also cause disulfiram-like
reaction
What type of medication is Linezolid? - ANSWER-Oxazolidinone -- It is an antibiotic and
an MAOI
,What. should Linezolid not be used with? - ANSWER-Not to be used with other MAOIs,
serotonergic drugs, or foods with tyramine
What does Linezolid do if used with Sudafed? - ANSWER-Increases blood pressure
Linezolid should not be given with what drugs due to risk of serotonin syndrome? -
ANSWER-SSRIs, Demerol, and MAOIs
How often should carbamazepine lab values be monitored? What labs? - ANSWER-
CBC q 3-4 months
What anti-seizure med auto induces metabolism? - ANSWER-Carbamazepine
What medication decreases the production of RBCs, WBCs, and platelets? - ANSWER-
Carbamazepine
What is carbamazepine half-life? - ANSWER-Single dose: 30 hours
Multiple dose: 15 hours
What is a great risk of seizure potential while taking anti-seizure medications? -
ANSWER-Stopping the medication abruptly.
What type of medication is topiramate (Topamax)? - ANSWER-Anti-seizure med
What does topiramate cause? - ANSWER-Electrolyte imbalance -- hyperchloremic
metabolic acidosis
, What are adverse effects of topiramate? - ANSWER-Weight loss, high temperature, and
inability to sweat
What medication affects Lamictal? - ANSWER-OCPs decrease the effects of this drug,
so the dose must be doubled
Can valproate (Depakote) be used during pregnancy? - ANSWER-It is a known
teratogen. If needed, must be used after 1st trimester.
What must be ruled out in patients before starting an anti-depressant? - ANSWER-
hypothyroidism
Anti-depressant that is to be used with caution in cardiac patients due to behaving like
class 1 anti-arrythmics? - ANSWER-TCAs
TCA side effects are mainly of what type? - ANSWER-Anti-cholinergic
What is a first-line antidepressant in children? - ANSWER-fluoxetine (Prozac)
How do you discontinue an SSRI? - ANSWER-Taper by reducing the dose by 50% for
3-4 days
When are MAOIs effective? - ANSWER-In atypical depression or Parkinson's
Why are MAOIs reserved for last line of treatment? - ANSWER-Lethal drug interactions
and food interactions
How long before starting a new antidepressant after MAOIs? - ANSWER-At least 2
weeks to clear it from system
NURS-615 Exam 2 Questions With
100% Complete Solutions Rated A+
How does carbamazepine work? - ANSWER-Works by decreasing nerve impulses that
cause seizures and pain
What is metronidazole used for? - ANSWER-PID, endocarditis, bacterial vaginosis,
giardiasis, trichomonad, amebiasis
What is the drug of choice for the first episode of mild-moderate C. Diff? - ANSWER-
Metronidazole (Flagyl)
What should not be ingested with metronidazole (Flagyl)? - ANSWER-Alcohol -- causes
a disulfiram-like reaction
What is a disulfiram-like reaction? - ANSWER-N/V, flushing of skin, tachycardia, SOB
How long should alcohol be avoided after metronidazole treatment? - ANSWER-At least
48 hours
Metronidazole inhibits liver metabolism of propylene glycol and should not be used with
what? - ANSWER-Meds like Miralax and E-Cigs; could also cause disulfiram-like
reaction
What type of medication is Linezolid? - ANSWER-Oxazolidinone -- It is an antibiotic and
an MAOI
,What. should Linezolid not be used with? - ANSWER-Not to be used with other MAOIs,
serotonergic drugs, or foods with tyramine
What does Linezolid do if used with Sudafed? - ANSWER-Increases blood pressure
Linezolid should not be given with what drugs due to risk of serotonin syndrome? -
ANSWER-SSRIs, Demerol, and MAOIs
How often should carbamazepine lab values be monitored? What labs? - ANSWER-
CBC q 3-4 months
What anti-seizure med auto induces metabolism? - ANSWER-Carbamazepine
What medication decreases the production of RBCs, WBCs, and platelets? - ANSWER-
Carbamazepine
What is carbamazepine half-life? - ANSWER-Single dose: 30 hours
Multiple dose: 15 hours
What is a great risk of seizure potential while taking anti-seizure medications? -
ANSWER-Stopping the medication abruptly.
What type of medication is topiramate (Topamax)? - ANSWER-Anti-seizure med
What does topiramate cause? - ANSWER-Electrolyte imbalance -- hyperchloremic
metabolic acidosis
, What are adverse effects of topiramate? - ANSWER-Weight loss, high temperature, and
inability to sweat
What medication affects Lamictal? - ANSWER-OCPs decrease the effects of this drug,
so the dose must be doubled
Can valproate (Depakote) be used during pregnancy? - ANSWER-It is a known
teratogen. If needed, must be used after 1st trimester.
What must be ruled out in patients before starting an anti-depressant? - ANSWER-
hypothyroidism
Anti-depressant that is to be used with caution in cardiac patients due to behaving like
class 1 anti-arrythmics? - ANSWER-TCAs
TCA side effects are mainly of what type? - ANSWER-Anti-cholinergic
What is a first-line antidepressant in children? - ANSWER-fluoxetine (Prozac)
How do you discontinue an SSRI? - ANSWER-Taper by reducing the dose by 50% for
3-4 days
When are MAOIs effective? - ANSWER-In atypical depression or Parkinson's
Why are MAOIs reserved for last line of treatment? - ANSWER-Lethal drug interactions
and food interactions
How long before starting a new antidepressant after MAOIs? - ANSWER-At least 2
weeks to clear it from system
