Maryville NURS 615 Pharm Exam 2 Questions and Answers Already Passed
Question : Carbamazepine (Tegretol) can sometimes show
subtherapeutic range due to what?
CORRECT ANSWER: Carbamazepine auto-induces
metabolism, leading to lower levels despite good compliance
Question : What are the black box warnings for
Carbamazepine?
CORRECT ANSWER : Dermatologic reactions1. Steven's
Johnson2. Toxic epidermal necrolysis
Question : What lab test should be ordered for patients on
Carbamazepine?
CORRECT ANSWER : CBC every 3-4 months because it
can cause decreased WBC, decreased platelets, and trouble with RBC
Question : What kind of teaching needs to be done with
families of patients who have seizure disorders?
CORRECT ANSWER : Prevention is important, patient
safety is important, Do NOT abruptly stop taking medication.
Question : Ethosuximide (Zarontin), an anti-seizure
medication can cause what?
CORRECT ANSWER : Blood dyscrasias
Question : Patients taking Topiramate need to be monitored
for what electrolyte imbalance?
CORRECT ANSWER : Decreased sodium bicarb leading to
hyperchloremic metabolic acidosis
Question : Topiramate treats seizures and what is one
common side effect?
CORRECT ANSWER : Normal side effect is weight loss,
especially in higher dose patients
Question : A child on Topiramate that wants to play sports
should monitor what?
CORRECT ANSWER : Don't get overheated. Topiramate
may affect his ability to sweat in the heat.
Question : What should a pregnant patient be told about
taking Valproate (Depakote)?
CORRECT ANSWER : It is a known teratogen and category
X medication. It should not be used in the first trimester, it may be restarted in second trimester.
Question : What patient population should tricyclic
antidepressants be used cautiously in?
CORRECT ANSWER : Heart Disease patients
Question : Phenelzine (Nardil) is a MAOI. What teaching
needs to be done with this medication?
CORRECT ANSWER : He should not use serotonergic
drugs like Imitrex. Also, this class of medication interacts with yogurt, sour cream, soy sauce, etc.
Question : Phenelzine (Nardil) may cause what if there is an
interaction with known contraindicated foods?
CORRECT ANSWER : Hypertensive crisis
Question : What are the side effects of tricyclic
antidepressants?
CORRECT ANSWER : Anticholinergic type effects like dry
mouth, sedation, constipation, increased appetite, blurred vision, tinnitus, euphoria, mania
Question : How long does it take for SSRIs to take effect
CORRECT ANSWER : 2-6 weeks
Question : SSRIs may cause what onset of action symptoms?
CORRECT ANSWER : Nausea, but this will usually resolve
in a week.