The nurse is reviewing antiepileptic drug (AED) therapy. Which statements about AED therapy are accurate?
(Select all that apply.)
a. AED therapy can be stopped when seizures are stopped.
b. AED therapy is usually lifelong.
c. Consistent dosing is the key to controlling seizures.
d. A dose may be skipped if the patient is experiencing adverse effects.
e. Do not abruptly discontinue AEDs because doing so may cause rebound seizure activity.
Question 2
During a routine appointment, a patient with a
history of seizures is found to have a phenytoin (Dilantin) level of 23 mcg/mL. What concern will the nurse have, if any?
a. The patient is at risk for seizures because the drug level is not at a therapeutic level.
b. The patient's seizures should be under control because this is a therapeutic drug level.
c. The patient's seizures should be under control if she is also taking a second antiepileptic drug.
d. The drug level is at a toxic level, and the dosage needs to be reduced.
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