©SOPHIABENNET@2024-2025 Thursday, August 22, 2024 10:21 AM
NURS 615 PHARM- MaryVille University of St. Louis
Maryville NURS 615 Exam 2 Questions and
Answers (100% Pass)
What blood values should be monitored with carbamazepine (Tegretol)? -
Answer✔️✔️-CBC test every 3-4 months to monitor for decrease in WBCs,
platelets, and trouble with RBC production.
What are the pharmacodynamics of carbamazepine (Tegretol)? -
Answer✔️✔️-- Auto-metabolizes leading to lower serum levels despite
compliance.
- Half-life 30 hours as single dose, 15 hours when given repeatedly.
What are the Black Box Warnings for carbamazepine (Tegretol)? -
Answer✔️✔️-- Stevens-Johnson Syndrome (SJS)
- Toxic Epidermal Necrolysis (TEN)
Carbamazepine (Tegretol) is what type of drug? - Answer✔️✔️-
Anticonvulsant drug
What should families be taught regarding the monitoring of seizure
activity? - Answer✔️✔️-- Prevention of seizures
- Patient Safety
- Quality of life issues
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, ©SOPHIABENNET@2024-2025 Thursday, August 22, 2024 10:21 AM
NURS 615 PHARM- MaryVille University of St. Louis
- Do not discontinue medication due to increased risk of seizures
What electrolyte imbalance is noted with the administration of topiramate
(Topamax)? - Answer✔️✔️-Decrease in sodium bicarbonate leading to
hyperchloremic metabolic acidosis.
What are adverse effects of topiramate (Topamax)? - Answer✔️✔️-- Weight
loss, especially in higher dose patients
- May affect ability to sweat
What are pregnancy precautions for valproate (Depakote)? - Answer✔️✔️--
Pregnancy Category X
- Teratogen (an agent that causes malformation of an embryo)
What instructions will you provide to a woman who wants to get pregnant
and has a seizure disorder controlled with valproate (Depakote)? -
Answer✔️✔️-- Pregnant women should be advised to switch to another
anticonvulsant during the first trimester, such as levetiracetam (Keppra),
then switch back to volproate (Depakote) in the second trimester.
- All anticonvulsants for pregnant women should be monitored by a high-
risk obstetrician.
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, ©SOPHIABENNET@2024-2025 Thursday, August 22, 2024 10:21 AM
NURS 615 PHARM- MaryVille University of St. Louis
What are precautions and contraindications for tricyclic antidepressants? -
Answer✔️✔️-- Caution cardiac disease patients (may act as an
antiarrhythmic)
- HTN, tachycardia, and convulsions when used with MAOIs
What are adverse effects of tricyclic antidepressants? - Answer✔️✔️--
Anticholinergic effects (dry mouth, sedation, constipation, increased
appetite, blurred vision, tinnitus, euphoria, and mania)
Phenylzine (Nardil) is an MAOI. What are the precautions and
contraindications? - Answer✔️✔️-- Avoid foods high in tyramine (fermented
foods, wine, alcohol, aged cheeses, yogurt, soy sauce, summer sausage,
processed meats, etc.)
- Avoid St. John's Wort (Serotonin Syndrome)
-Many other drug-drug interactions
How long does it take to clear an MAOI from the body? - Answer✔️✔️-2 full
weeks, 5 weeks before using fluoxetine (Prozac)
What are the symptoms of hypertensive crisis? - Answer✔️✔️-Headache,
heart palpitations, stiff or sore neck, chest tightness, tachycardia, sweating,
and dilated pupils. Can be life threatening.
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