100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Maryville NURS615 Pharm 2 exam $10.79   Add to cart

Exam (elaborations)

Maryville NURS615 Pharm 2 exam

 1 view  0 purchase
  • Course
  • Maryville NURS615
  • Institution
  • Maryville NURS615

Maryville NURS615 Pharm 2 exam Monitoring Parameters for antivirals such as acyclovir(Zovirax)/valacyclovir(Valtrex)? - -10% liver/90% kidney = BUN, Creat, LFT What is the Class and MOA of carbamazepine (tegretal) & topiramate (Topamax)? - - Anticonvulsant; thought to block Na+ channels to slow...

[Show more]

Preview 3 out of 17  pages

  • October 26, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • Maryville NURS615
  • Maryville NURS615
avatar-seller
verifiedtutor80
Maryville NURS615 Pharm 2 exam
Monitoring Parameters for antivirals such as acyclovir(Zovirax)/valacyclovir(Valtrex)? -
-10% liver/90% kidney = BUN, Creat, LFT




What is the Class and MOA of carbamazepine (tegretal) & topiramate (Topamax)? - -
Anticonvulsant; thought to block Na+ channels to slow activity or enhance GABA




Adverse effects of Carbamazepine and monitoring parameters - -Agranulocytosis:
decreased production of WBC in bone marrow, SJS, Toxic Epidermal Necrolysis; Monitor
CBC Q 3-4 mos; TSH (can also affect thyroid)




What precautions should be taken when discontinuing Carbamazepine? - -Do Not
stop abruptly; half life drops from 30 hr to 15 over time




What is GABA? - -calming/inhibitory neurotransmitter; calms firing nerves in CNS;
high levels improve focus, low levels cause anxiety




What is serotonin? - -mood neurotransmitter; Affects mood, hunger, sleep, and
arousal




What is norepinephrine/noradrenaline? - -Concentration neurotransmitter; affects
attention and responding actions; fight or flight

, Maryville NURS615 Pharm 2 exam
What is dopamine? - -pleasure neurotransmitter; feelings of pleasure, addiction,
motivation




What is acetylcholine? - -parasympathetic neurotransmitter that diffuses across a
synapse and produces an impulse in the cell membrane of a muscle cell




What should families be taught regarding the monitoring of seizure activity? - -focus
on prevention, pt safety, quality of life; if seizure occurs notefrequency, duration, severity;
be aware of mood changes, depression, anxiety, suicide; establish mutual treatment goals,
DO NOT stop meds abruptly




What electrolyte imbalance is noted with Topiramate (Topamax) & what to monitor? -
-a decrease in serum bicarbonate concentration, leading to hyperchloremic
metabolic acidosis; CMP & bicarb




Adverse effects seen with topiramate (Topamax) and pregnancy risk? - -ocular
syndromes (myopia and angle
closure glaucoma), ↓sweating (oligohidrosis), hyperthermia; in pregnancy: ↑risk of cleft lip
in infants




What is the MOA for Levetiracetam (Keppra) - -Does not affect GABA; may prevent
epileptiform burst firing and spread of seizure activity.




What population is Levetiracetam (Keppra) safer for? - -Children and pregnancy

, Maryville NURS615 Pharm 2 exam


What are the pregnancy precautions for valproate (Depakote) - -Cat X; known
teratogen; if necessary take after 1st trimester




Education for women taking valproate (Depakote) wanting to get pregnant? - -
possibility of birth defects, switch meds, be followed by high-risk OB




What should be monitored commonly with all anticonvulsants? - -their levels




What are the precautions and contraindications for the tricyclic antidepressants (TCA)? -
-Cardiac conduction disorder causing prolonged QT, get base ECG; sever tardive
dyskinesia and/or neuroleptic malignant syndrome; OD suicide; Anticholenergic=dry
mouth, constipation, urinary retention




2 important things to be aware of with SSRIs - -Serotonin syndrome, withdrawal
syndrome




Which anxiolytic reduces anxiety without sedation and does not appear to be addictive or
subject to abuse; not considered a Benzo? - -buspirone (Buspar)




What class of drug is Phenelzine (Nardil) & What are the cautions and contraindications? -
-MAOI; avoid foods with high levels tyramine, and that is found in fermented foods

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller verifiedtutor80. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.79. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67866 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.79
  • (0)
  Add to cart