Commonly Used Anticonvulsants-Nursing Considerations – Flashcards
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True or False. In all commonly used anticonvulsants the patient should use caution with hazardous activities until stabilized.
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True.
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of trigeminal neuralgia?
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carbamazepine (Carbatrol, Tegretol), phenytoin (Dilantin)
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True or False. A patient may take carbamazepine (Carbatrol, Tegretol) with food or milk to decrease GI upset.
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True.
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of diabetic neuropathy?
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carbamazepine (Carbatrol, Tegretol), pregabalin (Lyrica)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of manic episodes associated with bipolar disorder?
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divalproex sodium (Depakote ER-only), valproate (Depacon), valproic acid (Depakene, Myproic Acid)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of migraine prophylaxis?
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divalproex sodium (Depakote ER-only), topiramate (Topamax, Topiragen), valproate (Depacon), valproic acid (Depakene, Myproic Acid)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of postherpetic neuralgia?
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gabapentin (Gabarone, Neurontin), pregabalin (Lyrica)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of bulimia?
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topiramate (Topamax, Topiragen)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of cluster headaches?
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topiramate (Topamax, Topiragen)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of fibromyalgia?
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pregabalin (Lyrica)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of partial onset seizures in adults with epilepsy who already take one or more drugs for seizures?
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pregabalin (Lyrica)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of abnormal mood disorders?
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lamotrigine (Lamictal)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of febrile seizures in children?
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phenobarbital (Luminal)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of sedation?
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phenobarbital (Luminal)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of insomnia?
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phenobarbital (Luminal)
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In addition to controlling seizures which commonly used anticonvulsant(s) are indicated in the treatment of Bell's palsy?
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phenytoin (Dilantin)
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Which medication(s), when given via IV, should have a slow drip rate and resuscitation equipment available?
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phenobarbital (Luminal), phenytoin (Dilantin)
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Which medication(s), when given via IM injection, should the nurse be sure to given deep into large muscle mass to prevent tissue sloughing?
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phenobarbital (Luminal),
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True or False: Nystagmus may indicate early toxicity of phenobarbital (Luminal).
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True
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What vitamin supplement is indicated for long-term use of phenobarbital (Luminal)?
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Vitamin D
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What are some of the withdrawal symptoms of long-term use of phenobarbital (Luminal)?
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Vomiting, sweating, abdomen/muscle cramps, tremors, and possible convulsions
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True or False: Patients should avoid abrupt withdrawals from phenytoin (Dilantin) to prevent convulsions.
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True
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What medication(s) may cause a pink/red/brown discoloration to occur to urine and/or sweat?
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phenytoin (Dilantin), carbamazepine (Carbatrol, Tegretol)
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What medication(s) call for a patient to wear a medical information tag when taking?
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phenytoin (Dilantin), gabapentin (Gabarone, Neurontin), lamotrigine (Lamictal), topiramate (Topamax, Topiragen), valproic acid (Depakene, Myproic Acid), divalproex sodium (Depakote, Depakote ER)
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What vitamin supplement is recommended with long-term use of phenytoin (Dilantin)?
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Folic Acid
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True or False: phenytoin (Dilantin) cannot be taken in divided doses to decrease adverse effects.
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False
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What medication(s) should a patient avoid taking an antacid within 2 hours of administration?
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gabapentin (Gabarone, Neurontin)
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What medication(s) should a patient avoid abruptly stopping?
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gabapentin (Gabarone, Neurontin), lamotrigine (Lamictal), pregabalin (Lyrica), valproate (Depacon), valproic acid (Depakene, Myproic Acid), carbamazepine (Carbatrol, Tegretol), divalproex sodium (Depakote, Depakote ER)
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What medication(s) call for regular monitoring of blood levels, platelets, bleeding time, LFT, CBC, etc?
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carbamazepine (Carbatrol, Tegretol), divalproex sodium (Depakote, Depakote ER), valproate (Depacon), valproic acid (Depakene, Myproic Acid),
