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Maryville NURS 615 Exam 2 Questions and Answers (100% Pass) Maryville University $13.49   Add to cart
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Maryville NURS 615 Exam 2 Questions and Answers (100% Pass) Maryville University
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Maryville NURS 615 Exam 2 Questions and Answers (100% Pass) Maryville University What blood values should be monitored with carbamazepine (Tegretol)? Answer -CBC test every 3-4 months to monitor for decrease inWBCs, platelets, and troublewith RBC production. 2. What are the pharmacodynamics of c...

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  • October 26, 2024
  • 26
  • 2024/2025
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Maryville NURS 615 Exam 2.pdf file:///C:/Users/HP/Desktop/New%20folder%20(4)/Maryville%20N




Maryville NURS 615 Exam 2

Questions & Answers



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

Answer -CBC test every 3-4 months to monitor for decrease in WBCs, platelets, and

troublewith RBC production.



2. What are the pharmacodynamics of carbamazepine (Tegretol)?

Answer - Auto-me-tabolizes leading to lower serum levels despite compliance.

- Half-life 30 hours as single dose, 15 hours when given repeatedly.



3. What are the Black Box Warnings for carbamazepine (Tegretol)?

Answer -Stevens-Johnson Syndrome (SJS)

- Toxic Epidermal Necrolysis (TEN)



4. Carbamazepine (Tegretol) is what type of drug?

Answer Anticonvulsant drug
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5. What should families be taught regarding the monitoring of seizure activi-

ty?

Answer - Prevention of seizures

- Patient Safety

- Quality of life issues

- Do not discontinue medication due to increased risk of seizures



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

(Topamax)?

Answer Decrease in sodium bicarbonate leading to hyperchloremic metabolicacidosis.



7. What are adverse effects of topiramate (Topamax)?

Answer - Weight loss, especiallyin higher dose patients

- May affect ability to sweat



8. What are pregnancy precautions for valproate (Depakote)?

Answer - PregnancyCategory X

- Teratogen (an agent that causes malformation of an embryo)
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9. 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 obste-

trician.



10. 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



11. What are adverse effects of tricyclic antidepressants?

Answer - Anticholinergic ef-fects (dry mouth, sedation, constipation, increased

appetite, blurred vision, tinnitus,euphoria, and mania)



12. Phenylzine (Nardil) is an MAOI.What are the precautions and contraindi-
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