What lab values should CBC every 3-4 months
be monitored with
Carbamazepine
(Tegretol)?
What can Leukopenia, thrombocytopenia, aplastic anemia,
Carbamazepine and agranulocytosis due to bone marrow
(Tegretol) cause in labs depression
findings?
Thought to effect sodium channels, slowing the
What are the influx of sodium in the cortical neurons and slowing
pharamacodynamics of the spread of abnormal activity. It exerts its effects
Carbamazepine by depression transmission in the nuclus ventralis
(Tegretol)? anterior to the thalamus. causes autoinduced
metabolism.
What is the peak and half Peak: 6 hours
life of Carbamazepine Half Life: 65 hours initially, 12-17 hours with
(Tegretol)? continued administration
What should families be Safety and prevention. Do not stop medications
taught regarding the abruptly.
monitoring of seizure
activity?
, 10/4/24, 7:02 PM NURS 615 PHARM EXAM 2 – MARYVILLE ACTUAL EXAM 2024 EXAM COMPLETE QUESTIONS WITH DETAILED VERIFI…
What electrolyte Decrease in bicarbonate
imbalance is found with
Topiramate (Topimax)?
What are the pregnancy Should only be used when a womans life would be
precautions for Valproate endangered without it.
(Depakote)?
What can Valproate Neural tube defects including spina bifida
(Depakote) cause in the
first trimester?
What instructions will you This medication can not be taken during the first
provide to a woman who trimester or during lactation. Switch to another
wants to get pregnant medication such as keppra.
and has a seizure
disorder controlled by
Valproate (Depakote)?
Patients with cardiovascular disorders. Can act as
antiarrythmics. May be used with caution in
glaucoma, prostatic hypertrophy, or urinary
What are the precautions
incontinence
and contraindications for
Should not be prescribed in combination with
tricyclic antidepressants?
MAOI's or with demonstrated hypersensitivity to this
drug class. Can cause dry mouth, sedation,
euphoria, and constipation, and tinnitus.
What is Phenalzine MAOI
(Nardil)?
Contraindications include liver disease, kidney
disease, hypersensitivity, CHF, atherosclerotic
disease, and >60 years of age
What are the cautions Should be avoided in patients who are impulsive,
and contraindications of cognitively impaired, or cannot follow dietary
Phenelzine (Nardil)? restrictions. These medications inhibit the MAO.
Treat a-typical depression. Often used as a last line
of treatment. Patients should avoid tyrmaine rich
foods.
What are symptoms of a Headache, heart palpitations, stiff/sore neck, chest
hypertensive crisis? tightness, tachycardia, sweating, and dilated pupils
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