Maryville NURS 615 Pharm Exam 2 Verified Answers
Carbamazepine (Tegretol) can lead to subtherapeutic levels because it induces its own metabolism,
causing the drug to be cleared from the body more quickly over time, even if the patient is compliant
with their prescribed dose.
Carbamazepine ...
Maryville NURS 615 Pharm Exam 2 Verified Answers
Carbamazepine (Tegretol) can lead to subtherapeutic levels because it induces its own metabolism,
causing the drug to be cleared from the body more quickly over time, even if the patient is compliant
with their prescribed dose.
Carbamazepine carries black box warnings for severe dermatologic reactions, including Stevens-Johnson
syndrome and toxic epidermal necrolysis, which can be life-threatening.
Patients on Carbamazepine should have regular CBC (complete blood count) tests every 3-4 months to
monitor for potential adverse effects such as decreased white blood cells (WBCs), platelets, and red
blood cells (RBCs).
Families of patients with seizure disorders should be educated on the importance of preventing seizures,
ensuring patient safety, and never abruptly stopping the prescribed medication.
Ethosuximide (Zarontin), another anti-seizure medication, can cause blood dyscrasias, which are
abnormalities in blood cell counts.
Patients taking Topiramate should be monitored for decreased serum bicarbonate levels, which can lead
to hyperchloremic metabolic acidosis. Weight loss is a common side effect of Topiramate, particularly at
higher doses.
Children on Topiramate who engage in sports should be cautious about overheating because the
medication may affect their ability to sweat properly, increasing the risk of heat-related issues.
Pregnant patients should be informed that Valproate (Depakote) is a known teratogen (causing birth
defects) and is classified as a category X medication. It should be avoided, particularly in the first
trimester, and considered carefully even in later trimesters.
Tricyclic antidepressants should be used cautiously in patients with heart disease due to their potential
to cause cardiac side effects.
Phenelzine (Nardil) is a MAOI. What teaching needs to be done with this medication? ✔️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?
✔️Hypertensive crisis
What are the side effects of tricyclic antidepressants? ✔️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 ✔️2-6 weeks
SSRIs may cause what onset of action symptoms? ✔️Nausea, but this will usually resolve in a week.
What is one thing you should not do with SSRIs? ✔️Drink alcohol
What should happen when going off an SSRI? ✔️Wean slowly, do not stop abruptly
What medications would a patient with depression and anxiety respond well to? ✔️Buspar and an SSRI
combined
Celexa (Citalopram)
Lexapro (Escitalopram)
Why should you combine an SSRI with Buspar? ✔️Buspar augments the SSRI and is a good combo for
anxiety and depression
What is a first line drug for mild to moderate generalized anxiety disorder? ✔️Buspirone
How fast does Celexa start to demonstrate effects? ✔️Improved appetitie and concentration in 1-2
weeks.
What is a major drug to treat bipolar disease? ✔️Lithium
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