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Maryville NURS 615 Pharm Exam 2 Questions and Answers
with 100% Complete Solutions UPDATED!!!
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
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.
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Ethosuximide (Zarontin), an anti-seizure medication can cause
what? - ANSWER Blood dyscrasias
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.
What patient population should tricyclic antidepressants be
used cautiously in? - ANSWER Heart Disease patients
Maryville NURS 615 Pharm Exam 2 Questions and Answers
with 100% Complete Solutions UPDATED!!!
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
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.
, 2|Page
Ethosuximide (Zarontin), an anti-seizure medication can cause
what? - ANSWER Blood dyscrasias
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.
What patient population should tricyclic antidepressants be
used cautiously in? - ANSWER Heart Disease patients
