A patient has been taking an AED for several years as part of his treatment for partial seizures. His wife has called b
ecause he ran out of medication this morning and wonders if he can go without it for a week until she has a chance to go to the drugstore. What is the nurse's best response?
a. He is taking another antiepileptic drug, so he can go without the medication for a week.
b. Stopping this medication abruptly may cause withdrawal seizures. A refill is needed right away.
c. He can temporarily increase the dosage of his other antiseizure medications until you get the refill.
d. He can stop all medications because he has been treated for several years now.
Question 2
Phenytoin (Dilantin) has a narrow therapeutic index. The nurse recognizes that this characteristic indicates which of these?
a. The safe and the toxic plasma levels of the drug are very close to each other.
b. The phenytoin has a low chance of being effective.
c. There is no difference between safe and toxic plasma levels.
d. A very small dosage can result in the desired therapeutic effect.
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