He should monitor his temperature and ability to sweat in the heat while

He should monitor his temperature and ability to

This preview shows page 27 - 29 out of 33 pages.

He should monitor his temperature and ability to sweat in the heat while playing27. Cara is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes reminding her:To not abruptly discontinue levetiracetam due to risk for withdrawal seizures28. Levetiracetam has known drug interactions withFew, if any, drugs29. Zainab is taking lamotrigine (Lamictal) and presents to the clinic with fever and lymphadenopathy.Initial evaluation and treatment includes:Ruling out a hypersensitivity reaction that may lead to multi-organ failure30. How is lamotrigine (Lamictal) affected when taking oral contraceptives concurrently?Reduced lamotrigine levels, requiring doubling the dose of lamotrigine31. The tricyclic antidepressants should be prescribed cautiously in patients withHeart disease32. Patient teaching for phenelzine and other monoamine oxidase inhibitors (MAOIs):1. He should not be prescribed any serotonergic drug such as sumatriptan (Imitrex)2. MAOIs interact with many common foods, including yogurt, sour cream, and soysauce3. Symptoms of hypertensive crisis (headache, tachycardia, sweating) require immediatetreatment4. All of the above33. Taylor is a 10-year-old child diagnosed with major depression. The appropriate first lineantidepressant for children is:Fluoxetine34. Suzanne is started on paroxetine (Paxil), SSRI for depression. Education regarding her antidepressant includes:1. SSRIs may take 2 to 6 weeks before she will have maximum drug effects35. Cecilia presents with depression associated with complaints of fatigue, sleeping allthe time, and lack of motivation. An appropriate initial antidepressant for her would be:
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Duloxetine (Cymbalta)36. Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acutepsychosis due to medication noncompliance. He was treated with IM long-acting haloperidol.Besides monitoring his schizophrenia symptoms, the patient should be assessed by his primary careprovider:-With the Abnormal Involuntary Movement Scale (AIMS) for extrapyramidalsymptoms (EPS)37. Patients who are prescribed olanzapine (Zyprexa) should be monitored for:Insomnia38. A 19-year-old male was started on risperidone. Monitoring for risperidone include observing for common side effects, including:Bradykinesia (slow mvmt), akathisia (restlessness), and agitation39. In choosing a benzodiazepam to treat anxiety the prescriber needs to be aware of thepossibility of dependence. The benzodiazepam with the greatest likelihood of rapidly developingdependence is:Alprazolam (Xanax)40. A patient with anxiety and depression may respond to:Buspirone (Buspar) and an SSRI combined41. When prescribing temazepam (Restoril) for insomnia, patient education includes:-Temazepam should not be used more than three times a week for less than 3 months.
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