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Exam (elaborations)

Valproic Acid Questions and Answers

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Valproic Acid Questions and Answers Generic Name Valproic Acid Trade Name Depakene, Depakote, Depakote ER, Depakote Sprinkle Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More Classification arboxylic aci...

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  • September 28, 2024
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Valproic Acid Questions and Answers
Generic Name - answer Valproic Acid

Trade Name - answer Depakene, Depakote, Depakote ER,
Depakote Sprinkle

Classification - answer arboxylic acid derivative, Anticonvulsant, antimanic,
antimigraine

Availability - answer Capsules (Depakene): 250 mg. Capsules, Sprinkle (Depakote
Sprinkle): 125 mg. Injection, Solution (Depacon): 100 mg/ml. Syrup (Depakene): 250
mg/5 ml. Capsules, Delayed-Release (Stavzor): 125 mg, 250 mg, 500 mg. Tablets,
Delayed-Release (Depakote): 125 mg, 250 mg, 500 mg. Tablets, Extended-Release
(Depakote ER): 250 mg, 500 mg

Action - answer Produces anticonvulsant effect, stabilizes mood, prevents migraine
headache

Uses - answer Treatment of simple and complex absence (petit mal) seizures
(monotherapy preferred due to unpredictable interactions, increased risk of
hepatotoxicity). Adjunctive therapy of multiple seizures (Stavzor). Treatment of manic
episodes with bipolar disorders, complex partial seizures. Prophylaxis of migraine
headaches

Contraindications - answer Active hepatic disease, urea cycle disorders

Adverse Effects - answer Hepatotoxicity may occur, particularly in first 6 mos of
therapy. May be preceded by loss of seizure control, malaise, weakness, lethargy,
anorexia, vomiting rather than abnormal serum hepatic function test results. Blood
dyscrasias may occur.

Nursing Implications - answer Anticonvulsant: Review history of seizure disorder
(intensity, frequency, duration, level of consciousness). Initiate safety measures, quiet
dark environment. CBC, platelet count should be performed before and 2 wks after
therapy begins, then 2 wks following maintenance dose. Obtain baseline hepatic
function tests. Antimanic: Assess behavior, appearance, emotional status, response to
environment, speech pattern, thought content. Antimigraine: Question pt regarding
onset, location, duration of migraine, possible precipitating
symptoms.

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