






Study with the several resources on Docsity
Earn points by helping other students or get them with a premium plan
Prepare for your exams
Study with the several resources on Docsity
Earn points to download
Earn points by helping other students or get them with a premium plan
Community
Ask the community for help and clear up your study doubts
Discover the best universities in your country according to Docsity users
Free resources
Download our free guides on studying techniques, anxiety management strategies, and thesis advice from Docsity tutors
Chapter 12 - Drugs Affecting the Central Nervous System Questions and answers
Typology: Exams
1 / 12
This page cannot be seen from the preview
Don't miss anything!
Sarah, a 42-year-old female, requests a prescription for an anorexiant to treat her obesity. A trial of phentermine is prescribed. Prescribing precautions include: 1.Understanding that obesity is a contraindication to prescribing phentermine 2.Anorexiants may cause tolerance and should only be prescribed for 6 months 3.Patients should be monitored for postural hypotension 4.Renal function should be monitored closely while on anorexiants CORRECT ANSWERS✅ 2 Before prescribing phentermine to Sarah, a thorough drug history should be taken including assessing for the use of serotonergic agents such as selective serotonin reuptake inhibitors (SSRIs)and St John's wort due to: 1.Additive respiratory depression risk 2.Additive effects affecting liver function 3.The risk of serotonin syndrome 4.The risk of altered cognitive functioning CORRECT ANSWERS✅ 3 Antonia is a 3-year-old child who has a history of status epilepticus. Along with her routineantiseizure medication, she should also have a home prescription for to be used for an episode of status epilepticus. 1.IV phenobarbital 2.Rectal diazepam (Diastat) 3.IV phenytoin (Dilantin) 4.Oral carbamazepine (Tegretol) CORRECT ANSWERS✅ 2 Rabi is being prescribed phenytoin for seizures. Monitoring includes assessing: 1.For phenytoin hypersensitivity syndrome 3 to 8 weeks after starting treatment
2.For pedal edema throughout therapy 3.Heart rate at each visit and consider altering therapy if heart rate is less than bpm 4.For vision changes, such as red-green blindness, at least annually CORRECT ANSWERS✅ 1 Dwayne has recently started on carbamazepine to treat seizures. He comes to see you and you notethat while his carbamazepine levels had been in the therapeutic range, they are now low. Thepossible cause for the low carbamazepine levels include: 1.Dwayne hasn't been taking his carbamazepine because it causes insomnia. 2.Carbamazepine auto-induces metabolism, leading to lower levels in spite of goodcompliance. 3.Dwayne was not originally prescribed the correct amount of carbamazepine. 4.Carbamazepine is probably not the right antiseizure medication for Dwayne. CORRECT ANSWERS✅ 2 Carbamazepine has a Black Box Warning due to life-threatening: 1.Renal toxicity, leading to renal failure 2.Hepatotoxicity, leading to liver failure 3.Dermatologic reaction, including Steven's Johnson and toxic epidermal necrolysis 4.Cardiac effects, including supraventricular tachycardia CORRECT ANSWERS✅ 3 Long-term monitoring of patients who are taking carbamazepine includes: