Author Question: Scott's seizures are well controlled on topiramate and he wants to start playing baseball. Education ... (Read 24 times)

jazziefee · **on:** Jul 24, 2018

Scott's seizures are well controlled on topiramate and he wants to start playing baseball. Education for Scott regarding his topiramate includes:

1. He should not play sports due to the risk of increased seizures
2. He should monitor his temperature and ability to sweat in the heat while playing
3. Reminding him that he may need higher dosages of topiramate when exercising
4. Encouraging him to use sunscreen due to photosensitivity from topiramate

Question 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 60 bpm
4. For vision changes, such as red-green blindness, at least annually