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Author Question: A patient who has a history of migraine headaches is diagnosed with bipolar disorder. The nurse ... (Read 78 times)

JMatthes

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on: Jul 23, 2018
A patient who has a history of migraine headaches is diagnosed with bipolar disorder. The nurse might expect the provider to order which medication for this patient?
 
  a. Carbamazapine (Tegretol)
  b. Divalproex (Valproate)
  c. Lamotrigine (Lamictal)
  d. Lithium citrate (Eskalith)

Question 2

The nurse is caring for a patient who is receiving an intravenous antibiotic. The nurse notes that the provider has ordered serum drug peak and trough levels. The nurse understands that these tests are necessary for which type of drugs?
 
  a. Drugs with a broad spectrum
  b. Drugs with a narrow spectrum
  c. Drugs with a broad therapeutic index
  d. Drugs with a narrow therapeutic index


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bhavsar

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
All of these medications may be used to treat bipolar disorder, but divalproex is also indicated for migraine prophylaxis.

Answer to Question 2

ANS: D
Medications with a narrow therapeutic index have a limited range between the therapeutic dose and a toxic dose. It is important to monitor these medications closely by evaluating regular serum peak and trough levels.


JMatthes

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Reply 2 on: Jul 23, 2018
Excellent

scottmt

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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