Maryville NURS 615 Exam 2 UPDATED ACTUAL Questions and
CORRECT Answers
1. What blood values should be moni- CBC test every 3-4 months to monitor for decrease
tored with carbamazepine (Tegretol)? in WBCs, platelets, and trouble with RBC produc-
tion.
2. What are the pharmacodynamics of - Auto-metabolizes leading to lower serum levels
carbamazepine (Tegretol)? despite compliance.
- Half-life 30 hours as single dose, 15 hours when
given repeatedly.
3. What are the Black Box Warnings for - Stevens-Johnson Syndrome (SJS)
carbamazepine (Tegretol)? - Toxic Epidermal Necrolysis (TEN)
4. Carbamazepine (Tegretol) is what Anticonvulsant drug
type of drug?
5. What should families be taught re- - Prevention of seizures
garding the monitoring of seizure ac- - Patient Safety
tivity? - Quality of life issues
- Do not discontinue medication due to increased
risk of seizures
6. What electrolyte imbalance is noted Decrease in sodium bicarbonate leading to hyper-
with the administration of topiramate chloremic metabolic acidosis.
(Topamax)?
7. What are adverse effects of topira- - Weight loss, especially in higher dose patients
mate (Topamax)? - May affect ability to sweat
8. What are pregnancy precautions for - Pregnancy Category X
valproate (Depakote)? - Teratogen (an agent that causes malformation of
an embryo)
9.
, Maryville NURS 615 Exam 2
Study online at https://quizlet.com/_5ebun7
What instructions will you provide to - Pregnant women should be advised to switch to
a woman who wants to get pregnant another anticonvulsant during the first trimester,
and has a seizure disorder controlled such as levetiracetam (Keppra), then switch back to
with valproate (Depakote)? volproate (Depakote) in the second trimester.
- All anticonvulsants for pregnant women should
be monitored by a high-risk obstetrician.
10. What are precautions and contraindi- - Caution cardiac disease patients (may act as an
cations for tricyclic antidepressants? antiarrhythmic)
- HTN, tachycardia, and convulsions when used
with MAOIs
11. What are adverse effects of tricyclic - Anticholinergic effects (dry mouth, sedation, con-
antidepressants? stipation, increased appetite, blurred vision, tinni-
tus, euphoria, and mania)
12. Phenylzine (Nardil) is an MAOI. What - Avoid foods high in tyramine (fermented foods,
are the precautions and contraindica- wine, alcohol, aged cheeses, yogurt, soy sauce,
tions? summer sausage, processed meats, etc.)
- Avoid St. John's Wort (Serotonin Syndrome)
-Many other drug-drug interactions
13. How long does it take to clear an 2 full weeks, 5 weeks before using fluoxetine
MAOI from the body? (Prozac)
14. What are the symptoms of hyperten- Headache, heart palpitations, stiff or sore neck,
sive crisis? chest tightness, tachycardia, sweating, and dilated
pupils. Can be life threatening.
15. How long does it take for SSRIs to pro- 2 - 6 weeks (most are full effect at 4 weeks)
duce an effect for depression?
16. Treatment of anxious or agitated depression
CORRECT Answers
1. What blood values should be moni- CBC test every 3-4 months to monitor for decrease
tored with carbamazepine (Tegretol)? in WBCs, platelets, and trouble with RBC produc-
tion.
2. What are the pharmacodynamics of - Auto-metabolizes leading to lower serum levels
carbamazepine (Tegretol)? despite compliance.
- Half-life 30 hours as single dose, 15 hours when
given repeatedly.
3. What are the Black Box Warnings for - Stevens-Johnson Syndrome (SJS)
carbamazepine (Tegretol)? - Toxic Epidermal Necrolysis (TEN)
4. Carbamazepine (Tegretol) is what Anticonvulsant drug
type of drug?
5. What should families be taught re- - Prevention of seizures
garding the monitoring of seizure ac- - Patient Safety
tivity? - Quality of life issues
- Do not discontinue medication due to increased
risk of seizures
6. What electrolyte imbalance is noted Decrease in sodium bicarbonate leading to hyper-
with the administration of topiramate chloremic metabolic acidosis.
(Topamax)?
7. What are adverse effects of topira- - Weight loss, especially in higher dose patients
mate (Topamax)? - May affect ability to sweat
8. What are pregnancy precautions for - Pregnancy Category X
valproate (Depakote)? - Teratogen (an agent that causes malformation of
an embryo)
9.
, Maryville NURS 615 Exam 2
Study online at https://quizlet.com/_5ebun7
What instructions will you provide to - Pregnant women should be advised to switch to
a woman who wants to get pregnant another anticonvulsant during the first trimester,
and has a seizure disorder controlled such as levetiracetam (Keppra), then switch back to
with valproate (Depakote)? volproate (Depakote) in the second trimester.
- All anticonvulsants for pregnant women should
be monitored by a high-risk obstetrician.
10. What are precautions and contraindi- - Caution cardiac disease patients (may act as an
cations for tricyclic antidepressants? antiarrhythmic)
- HTN, tachycardia, and convulsions when used
with MAOIs
11. What are adverse effects of tricyclic - Anticholinergic effects (dry mouth, sedation, con-
antidepressants? stipation, increased appetite, blurred vision, tinni-
tus, euphoria, and mania)
12. Phenylzine (Nardil) is an MAOI. What - Avoid foods high in tyramine (fermented foods,
are the precautions and contraindica- wine, alcohol, aged cheeses, yogurt, soy sauce,
tions? summer sausage, processed meats, etc.)
- Avoid St. John's Wort (Serotonin Syndrome)
-Many other drug-drug interactions
13. How long does it take to clear an 2 full weeks, 5 weeks before using fluoxetine
MAOI from the body? (Prozac)
14. What are the symptoms of hyperten- Headache, heart palpitations, stiff or sore neck,
sive crisis? chest tightness, tachycardia, sweating, and dilated
pupils. Can be life threatening.
15. How long does it take for SSRIs to pro- 2 - 6 weeks (most are full effect at 4 weeks)
duce an effect for depression?
16. Treatment of anxious or agitated depression
