What blood values should be monitored with Carbamazepine? - ANSWER-CBC and liver function tests
what are the pharmacodynamics of Carbamazepine? -
... [Show More] ANSWER-it slows the sodium influx into the cortical neurons, thus slowing the transmission of seizure activity
What should families be taught regarding the monitoring of seizure activity? - 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
What electrolyte imbalance is noted with the administration of topiramate? - ANSWER-serum bicarb levels, metabolic acidosis, hypokalemia
What is the pregnancy category for valproate? - ANSWER-Pregnancy category D
6. What instructions will you provide to a woman who wants to get pregnant and has a seizure disorder controlled with valproate? - ANSWER-Valproate can cause neural tube defects and should be avoided during the first trimester of pregnancy. However, it can be restarted for the remainder of the pregnancy.
What are the precautions and contraindications for TCA's - ANSWER-Mainly cardiovascular disorders- specifically arrhythmia's.
Also: pregnancy, use of MAOI's, Glaucoma, elderly, seizure disorder
Phenelzine (Nardil) is an MAO inhibitor. What are the cautions and contraindications? How is it used to treat recalcitrant depression? - ANSWER-Contraindications: liver and renal disease, CHF, CAD, pregnancy, age over 60
Precautions: Tyramine-containing foods
---It is used as a last resort to treat depression that is unresponsive to other treatments
S/S of hypertensive crisis - ANSWER-Severe headache, heart palpitations, blurred vision, stiff or sore neck, chest pain or tightness, nausea and vomiting, tachycardia, sweating, shortness of breath, dilated pupils
How long do SSRI's take to become effective? - ANSWER-4-6 weeks
When are buspirone (Buspar) and an SSRI combined? - ANSWER-anxiety or agitated depression
What type of diet is recommended with the administration of lithium? - ANSWER-consistent levels of sodium [Show Less]