100% CORRECT ANSWERS 2026
What lab values should be monitored with Carbamazepine
(Tegretol)? correct answers >> CBC every 3-4 months
What can Carbamazepine (Tegretol) cause in labs findings?
correct answers >> Leukopenia, thrombocytopenia, aplastic
anemia, and agranulocytosis due to bone marrow depression
What are the pharamacodynamics of Carbamazepine (Tegretol)?
correct answers >> Thought to effect sodium channels, slowing
the influx of sodium in the cortical neurons and slowing the
spread of abnormal activity. It exerts its effects by depression
transmission in the nuclus ventralis anterior to the thalamus.
causes autoinduced metabolism.
What is the peak and half life of Carbamazepine (Tegretol)?
correct answers >> Peak: 6 hours
Half Life: 65 hours initially, 12-17 hours with continued
administration
What should families be taught regarding the monitoring of
seizure activity? correct answers >> Safety and prevention.
Do not stop medications abruptly.
What electrolyte imbalance is found with Topiramate (Topimax)?
correct answers >> Decrease in bicarbonate
, What are the pregnancy precautions for Valproate (Depakote)?
correct answers >> Should only be used when a womans life
would be endangered without it.
What can Valproate (Depakote) cause in the first trimester?
correct answers >> Neural tube defects including spina bifida
What instructions will you provide to a woman who wants to get
pregnant and has a seizure disorder controlled by Valproate
(Depakote)? correct answers >> This medication can not be
taken during the first trimester or during lactation. Switch to
another medication such as keppra.
What are the precautions and contraindications for tricyclic
antidepressants? correct answers >> Patients with
cardiovascular disorders. Can act as antiarrythmics. May be used
with caution in glaucoma, prostatic hypertrophy, or urinary
incontinence
Should not be prescribed in combination with MAOI's or with
demonstrated hypersensitivity to this drug class. Can cause dry
mouth, sedation, euphoria, and constipation, and tinnitus.
What is Phenalzine (Nardil)? correct answers >> MAOI
What are the cautions and contraindications of Phenelzine
(Nardil)? correct answers >> Contraindications include liver
disease, kidney disease, hypersensitivity, CHF, atherosclerotic
disease, and >60 years of age
Should be avoided in patients who are impulsive, cognitively
impaired, or cannot follow dietary restrictions. These medications