This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A 20-kg child has been taking valproic acid Depakote for 1 week to treat a seizure disorder. The ... (Read 79 times)

geodog55

  • Hero Member
  • *****
  • Posts: 530
on: Jul 23, 2018
A 20-kg child has been taking valproic acid Depakote for 1 week to treat a seizure disorder. The child is receiving 200 mg PO twice daily. The child's parents report no improvement in sei-zure activity.
 
  The nurse will anticipate that the provider will order which change in this child's drug regimen? a. Adding another seizure medication to supplement the valproic acid
  b. Changing to phenytoin Dilantin since the valproic acid is not effective
  c. Increasing the dose of valproic acid to 300 mg PO twice daily
  d. Increasing the dose of valproic acid to 200 mg three times daily

Question 2

A patient is taking enalapril Vasotec. The nurse understands that patients taking this type of drug for heart failure need to be monitored carefully for:
 
  a. hypernatremia.
  b. hypertension.
  c. hyperkalemia.
  d. hypokalemia.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

LegendaryAnswers

  • Sr. Member
  • ****
  • Posts: 341
Reply #1 on: Jul 23, 2018
Answer to Question 1

C
Valproic acid is given initially at a dose of 5 to 15 mg/kg/day, administered in two divided doses. This child is receiving 400 mg/day, which is 10 mg/kg/day. The dosage should be increased by 5 to 10 mg/kg/day each week until optimal levels are achieved up to a maximum dose of 60 mg/kg/day. At this point, adding another AED or changing to another AED is not recommended. Increasing the dose to three times daily is not recommended.

Answer to Question 2

C
One of the principal effects of angiotensin-converting enzyme (ACE) inhibitors is hyperkalemia, which is due to decreased aldosterone release arising from blockage of angiotensin II. There is no indication that careful monitoring of sodium for increased levels is indicated. Vasotec is indi-cated for heart failure, not hypertension. The drug therapy should be monitored to ascertain its effectiveness, but hyperkalemia is the main concern. Hyperkalemia, not hypokalemia, is a concern because of the decreased aldosterone release that occurs with blockage of angiotensin II.


geodog55

  • Member
  • Posts: 530
Reply 2 on: Jul 23, 2018
Excellent

skipfourms123

  • Member
  • Posts: 343
Reply 3 on: Yesterday
YES! Correct, THANKS for helping me on my review

« previous next »
 

Did you know?

There are over 65,000 known species of protozoa. About 10,000 species are parasitic.

Did you know?

Historic treatments for rheumatoid arthritis have included gold salts, acupuncture, a diet consisting of apples or rhubarb, nutmeg, nettles, bee venom, bracelets made of copper, prayer, rest, tooth extractions, fasting, honey, vitamins, insulin, snow collected on Christmas, magnets, and electric convulsion therapy.

Did you know?

Looking at the sun may not only cause headache and distort your vision temporarily, but it can also cause permanent eye damage. Any exposure to sunlight adds to the cumulative effects of ultraviolet (UV) radiation on your eyes. UV exposure has been linked to eye disorders such as macular degeneration, solar retinitis, and corneal dystrophies.

Did you know?

Your chance of developing a kidney stone is 1 in 10. In recent years, approximately 3.7 million people in the United States were diagnosed with a kidney disease.

Did you know?

The heart is located in the center of the chest, with part of it tipped slightly so that it taps against the left side of the chest.

Reversible amino acid modifications involved in regulation of protein activity Reversible amino acid modifications involved in regulation of protein activity
The proportion of men and women with elevated blood pressure or taking hypertension medication incre The proportion of men and women with elevated blood pressure or taking hypertension medication incre
Outcome of myocardial infarction. Forty percent of 1-week survivors have late complications ... Outcome of myocardial infarction. Forty percent of 1-week survivors have late complications ...
Pi molecular orbital system of PLP-amino acid Schiff base Pi molecular orbital system of PLP-amino acid Schiff base
The Growing Child The Growing Child
Long-term relationships, especially those who are married, having a child Long-term relationships, especially those who are married, having a child
Video: Coronary Heart Disease

For a complete list of videos, visit our video library