« previous next »

Author Question: A patient with bipolar disorder takes lamotrigine (Lamictal). Which statement by the patient would ... (Read 23 times)

Mr3Hunna

  • Hero Member
  • *****
  • Posts: 536
on: Jul 23, 2018
A patient with bipolar disorder takes lamotrigine (Lamictal). Which statement by the patient would prompt the nurse to hold the drug and notify the prescriber for further assessment?
 
  a. I get a little dizzy sometimes.
  b. I had a headache last week that lasted for about an hour.
  c. I've broken out in a rash on my chest and back.
  d. Last night I woke up twice with a bad dream.

Question 2

A patient who has recently begun taking carbamazepine (Tegretol) for bipolar disorder reports having vertigo and headaches. Which action by the nurse is appropriate?
 
  a. Ask the provider whether another medication can be used for this patient, because the patient is showing signs of toxicity.
  b. Contact the provider to request a complete blood count (CBC) to evaluate for other, more serious side effects.
  c. Reassure the patient that these effects occur early in treatment and will resolve over time.
  d. Review the patient's chart for cytochrome P450 enzymes to see whether an increased dose is needed.


yotaSR5

  • Sr. Member
  • ****
  • Posts: 331
Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: C
Evidence of a rash in a patient taking lamotrigine requires further assessment, because this may indicate the development of Stevens-Johnson syndrome. Although dizziness and headaches are side effects of lamotrigine, they are not potentially life threatening. A bad dream is not necessarily related to the lamotrigine.

Answer to Question 2

ANS: C
Carbamazepine can cause several neurologic side effects early in treatment, including vertigo and headaches. These resolve with continued drug use. These side effects are not related to drug toxicity. A CBC should be obtained at baseline and periodically thereafter. Carbamazepine can cause changes in hematologic laboratory values. The side effects reported by this patient are not associated with hematologic side effects. Carbamazepine induces cytochrome P450 enzymes and can accelerate its own metabolism, which would reduce the amount of drug and decrease side effects, so an increased dose is not appropriate.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
« previous next »
 

Did you know?

Warfarin was developed as a consequence of the study of a strange bleeding disorder that suddenly occurred in cattle on the northern prairies of the United States in the early 1900s.

Did you know?

Patients who have been on total parenteral nutrition for more than a few days may need to have foods gradually reintroduced to give the digestive tract time to start working again.

Did you know?

Never take aspirin without food because it is likely to irritate your stomach. Never give aspirin to children under age 12. Overdoses of aspirin have the potential to cause deafness.

Did you know?

The most common childhood diseases include croup, chickenpox, ear infections, flu, pneumonia, ringworm, respiratory syncytial virus, scabies, head lice, and asthma.

Did you know?

Although puberty usually occurs in the early teenage years, the world's youngest parents were two Chinese children who had their first baby when they were 8 and 9 years of age.

Bipolar disease. The term bipolar means “pertaining to two poles.” The individual with this form of Bipolar disease. The term bipolar means “pertaining to two poles.” The individual with this form of
Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r Defibrillator. Defibrillators are devices that supply a voltage charge to the heart in the hope of r
Pigmented bands in nail of patient with dark skin Pigmented bands in nail of patient with dark skin
Patient teaching: male genetalia assessment Patient teaching: male genetalia assessment
Pure Alexia in a Patient with Multiple Sclerosis Pure Alexia in a Patient with Multiple Sclerosis
Sleep disorder causes Sleep disorder causes
Video: Miller's reaction chamber experiment Animation

For a complete list of videos, visit our video library