100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
Maryville University Pharmacology NURS 615 Exam 2 Questions and Answers (100% Pass) 2024 $13.49   Add to cart

Exam (elaborations)

Maryville University Pharmacology NURS 615 Exam 2 Questions and Answers (100% Pass) 2024

 0 view  0 purchase

Maryville University Pharmacology NURS 615 Exam 2 Questions and Answers (100% Pass) 2024 What blood values should be monitored with carbamazepine (Tegretol)? P. 236-237 Answer CBC for agranulosytosis (leukopenia/ neutropenia), BMP, and liver function tests, monitored at baseline prior to adminis...

[Show more]

Preview 3 out of 17  pages

  • October 26, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
All documents for this subject (66)
avatar-seller
NurseFerian
Maryville University Nurs 615 Pharm Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Maryville%20Univ




Maryville University Pharm Exam 2

Questions & Answers


1. What blood values should be monitored with carbamazepine (Tegretol)?

P. 236-237

Answer CBC for agranulosytosis (leukopenia/ neutropenia), BMP, and liver function

tests, monitored at baseline prior to administration and followed throughout

treatment



2. What is the pharmacodynamics of carbamazepine (Tegretol)? P. 235

Answer Carba-mazepine depresses transmission in the nucleus ventralis anterior of

the thalamus.This area is associated with the spread of seizure discharge. Exact

mechanism of action not known but may work by slowing sodium influx to the cortical

neurons thusslowing the spread of abnormal neuron activity.



3. What should families be taught regarding the monitoring of seizure ac-

tivity?
1/6




1 of 17 10/24/2024, 8:18

,Maryville University Nurs 615 Pharm Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Maryville%20Univ




Answer Seizure triggers, when to contact the physician, how to take medications

properly and that medication needs may change with patient growth (kids), need for

monitoring blood levels, signs of adverse drug reactions



4. What electrolyte imbalance is noted with the administration of topiramate

(Topamax)? P. 239

Answer Topiramate is a carbonic anhydrase inhibitor used for seizuresand migraines.

This can increase bicarb loss (via the kidneys) which decreases serum bicarb levels.

The result is hyperchloremic metabolic acidosis.



5. What is the pregnancy category for valproate?

Answer Pregnancy category D (FDAdropped Pregnancy category designations June

2015)



6. What instructions will you provide to a woman who wants to get pregnant

and has a seizure disorder controlled with valproate? P. 278-279

Answer She shouldbe advised to speak with her neurologist before trying to get

pregnant. Valproate isa known teratogen (it can lead to neural tube defects), but may

be taken after the first trimester if needed.
2/6




2 of 17 10/24/2024, 8:18

,Maryville University Nurs 615 Pharm Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Maryville%20Univ




7. What are the precautions and contraindications for the tricyclic antide-

pressants? P. 245-246

Answer Contraindicated with cardiovascular disorders (Direct alphaadrenergic

blocking effect and quinidine like effect on the myocardium). Use with caution in

those with glaucoma, prostatic hypertrophy, or urinary incontinence. Do not use in

combination with MAOIs. Two week washout period. Use with extreme caution in

pregnancy. Most significant risk is cardiac conduction disorder mostly inpeds and

elderly. May develop sinus tachycardia due to slowing of depolarization of the cardiac

muscle contributing to prolongation of the QRS complex and PR/QTinterval.Can

lower seizure threshold in those with seizure disorder.Use with extremecaution in the

elderly (norepinephrine effects in the elderly can result in confusion, orthostatic

hypotension, and falls. May develop tardive dyskinesia



8. Phenelzine (Nardil) is an MAO inhibitor.What are the cautions and con-

traindications? How is it used to treat recalcitrant depression? P. 248-249

Answer - Most commonly used for refractory unipolar depression. Irreversibly

inactivate the enzymes that metabolize norepinephrine, serotonin, and dopamine

which increases
3/6




3 of 17 10/24/2024, 8:18

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 NurseFerian. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

82871 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
$13.49
  • (0)
  Add to cart