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45 Cards in this Set

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What can you teach the pt with Trigeminal Neuralgia that was prescribed Tegretol?
What can you teach the pt with Trigeminal Neuralgia that was prescribed Tegretol?

- The adverse reactions include somnolence (sleepiness), nystagmus, gingival hyperplasia. It should not be taken within 14 days of an MAOI. Normal serum levels for Tegretol is 3-14 mcg/dl
Cerebyx?
Cerebyx? Claassified as a fosphenytoin. Used for seizures with side effects of hypotension, drowsiness, sedation, blood dyscrasias and elevated glucose
Teach a pt about Cerebyx?
Teach a pt about Cerebyx? Wear medic alert bracelet, No OTC drugs and maintain adequate nutritional intake
Scientific rationale for Dilantin?
Scientific rationale for Dilantin? Stabilizes hyperexcitability postsynaptically in the motor cortex
Dilantin decreases the effectiveness of b/c pills
FYI: Dilantin decreases the effectiveness of b/c pills
Pt on Selegiline for Parkisons, would you question an order for Demerol?
Pt on Selegiline for Parkisons, would you question an order for Demerol?

- YES, contraindicated
Pt on Dilantin for seizures and also has DM, what nurse intervention to teach client?
Pt on Dilantin for seizures and also has DM, what nurse intervention to teach client?

- Monitor glucose levels closely
Pt has been on Dilantin for 5 days and calls to say her urine is reddish brown, nurse tells her?
Pt has been on Dilantin for 5 days and calls to say her urine is reddish brown, nurse tells her?

- This is a normal side effect, not to worry
Pt being discharged and asks nurse about Dilantin, what is one thing the nurse can advise about?
Pt being discharged and asks nurse about Dilantin, what is one thing the nurse can advise about? Will probably be taken for life
What can happen with improper administration of IV Dilantin?
What can happen with improper administration of IV Dilantin? Rapid infusion can cause arrhythmias
What does the nurse need to know about Dilantin and tube feedings?
What does the nurse need to know about Dilantin and tube feedings? The tube feedings can interfere with the absorption so higher doses may be needed for therapeutic level to be met
Pt has history of 2 previous episodes of status epilepticus, what should be available for this pt?
Pt has history of 2 previous episodes of status epilepticus, what should be available for this pt? Ativan
What does the nurse monitor for with pt taking Tegretol for Trigeminal Neuralgia?
What does the nurse monitor for with pt taking Tegretol for Trigeminal Neuralgia? Pain relief
Another drug to help with pain from TM?
Another drug to help with pain from TM? Gabapentin
Tegretol can cause liver failure/damage, watch for what problem?
Tegretol can cause liver failure/damage, watch for what problem? Unusual bleeding
Stroke pt on Dilantin and asks what the scientific rationale for this is?
Stroke pt on Dilantin and asks what the scientific rationale for this is? Damage to the brain tissue from the stroke could result in seizures
What does the nurse monitor for after IV Ativan?
What does the nurse monitor for after IV Ativan? Respiratory depression
Pt on Dilantin PO daily, what side effect does the nurse see?
Pt on Dilantin PO daily, what side effect does the nurse see? Sedation
What do you infuse Dilantin with?
What do you infuse Dilantin with? Normal Saline, because the dextrose can cause the medication to crystalize
Pt on phenobarbital (Luminal) and valproic acid, what do you monitor for?
Pt on phenobarbital (Luminal) and valproic acid, what do you monitor for? phenobarbital toxicity
Most common side effect of Dilantin?
Most common side effect of Dilantin?

- Gingival hyperplasia
Pt on Zarontin, what you do monitor?
Pt on Zarontin, what you do monitor? CBC and LFT
How can you assess that an elderly pt taking Sinemet, that the med is working?
How can you assess that an elderly pt taking Sinemet, that the med is working? Improved gait, walk without stumbling
Scientific rationale for Sinemet?
Scientific rationale for Sinemet? the carbidopa helps the levodopa work. carbidopa allows the levodopa to reach the brain with reduced peripheral effects
Which data for a pt on L Dopa supports the order of a "drug holiday"?
Which data for a pt on L Dopa supports the order of a "drug holiday"? The therapeutic effects are decreased and the adverse effects have increased
What interventions can the nurse teach pt on L Dopa?
What interventions can the nurse teach pt on L Dopa?

- Rise slowly, of the on/off effects and they may have dark colored sweat/urine
The nurse would question an order for Cogentin in a pt with glaucoma
The nurse would question an order for Cogentin in a pt with glaucoma
Mirapex S/E?
Mirapex S/E? day time sleepiness
Pt on Cogentin, what adverse reaction should the nurse monitor for?
Pt on Cogentin, what adverse reaction should the nurse monitor for?

- urinary retention
Plan of Care for Parkinsons pt?
Plan of Care for Parkinsons pt?

- Maintain Functional Ability
Pt rx Levodopa and Artane, which statement says the pt understands how these meds work?
Pt rx Levodopa and Artane, which statement says the pt understands how these meds work? I will not eat liver or boxed cereals (B6)
Instruction to pt taking Parlodel?
Instruction to pt taking Parlodel? use extra method of birth control
Eldepryl is ordered post op, what other drug ordered would be questioned?
Eldepryl is ordered post op, what other drug ordered would be questioned?
- Demerol
Prostigmine/Neostigimine does what?
Prostigmine/Neostigimine does what? blocks action of cholinesterase
Prostigimine overdose?
Prostigimine overdose? Atropine
Sign that pt is getting too much Mestinon?
Sign that pt is getting too much Mestinon? Cant open mouth
What can you teach pt on Mestinon at discharge?
What can you teach pt on Mestinon at discharge?

- their daily dose will be adjusted to meet the individuals needs
Adverse reaction of Mestinon?
Adverse reaction of Mestinon? Bradycardia
Pt is diagnosed with a stroke, which medication could have contributed to this?
Pt is diagnosed with a stroke, which medication could have contributed to this?

- oral contraceptive, ortho cyclen
Therapeutic effect of Decadron?
Therapeutic effect of Decadron? Reduced ICP
Why would a pt get Mannitol/Osmitol?
Why would a pt get Mannitol/Osmitol?

- To decrease ICP
Increased ICP pt on Mannitol, what intervention to evaluate?
Increased ICP pt on Mannitol, what intervention to evaluate? Assess neuro status
Which med would you question for a stroke pt?
Which med would you question for a stroke pt? Plavix
Ergotamine =
Ergotamine = NO PREGO
What can you tell a pt that was rx'd Dilantin (phenytoin)?
What can you tell a pt that was rx'd Dilantin (phenytoin)? Use a soft toothbrush