Podcast
Questions and Answers
What percentage of patients with seizures do medications control seizures in, if properly prescribed and taken?
What percentage of patients with seizures do medications control seizures in, if properly prescribed and taken?
- 60% to 70%
- 70% to 80% (correct)
- 80% to 90%
- 50% to 60%
Why are medications selected for controlling seizures?
Why are medications selected for controlling seizures?
- Based on the patient's blood type
- Based on the patient's age
- Based on the type of seizure being treated and the effectiveness and safety of the medications (correct)
- Based on the patient's gender
What percentage of patients with focal seizures may not demonstrate improvement with any prescribed medication or may be unable to tolerate the side effects of medications?
What percentage of patients with focal seizures may not demonstrate improvement with any prescribed medication or may be unable to tolerate the side effects of medications?
- 10%
- 30% (correct)
- 40%
- 20%
When is changing to another medication necessary in controlling seizures?
When is changing to another medication necessary in controlling seizures?
Why are medication levels in the blood monitored?
Why are medication levels in the blood monitored?
What determines the starting dose and the rate at which the dosage is increased for seizure control medication?
What determines the starting dose and the rate at which the dosage is increased for seizure control medication?
What is the half-life range of phenobarbital?
What is the half-life range of phenobarbital?
Which organ system can be affected by drug toxicity manifestations?
Which organ system can be affected by drug toxicity manifestations?
What is the long-term effect of phenytoin use?
What is the long-term effect of phenytoin use?
What type of seizures is phenobarbital used for?
What type of seizures is phenobarbital used for?
What effect does phenobarbital have on the central nervous system?
What effect does phenobarbital have on the central nervous system?
Who may require lower doses of phenobarbital?
Who may require lower doses of phenobarbital?
What is the maximum rate of intravenous administration for phenobarbital?
What is the maximum rate of intravenous administration for phenobarbital?
Which condition is diazepam contraindicated for?
Which condition is diazepam contraindicated for?
What is the primary aim of phenobarbital's therapeutic effects?
What is the primary aim of phenobarbital's therapeutic effects?
What is the primary mechanism of action of diazepam?
What is the primary mechanism of action of diazepam?
For which condition is phenobarbital used as a therapeutic agent?
For which condition is phenobarbital used as a therapeutic agent?
What are the adverse effects of phenobarbital?
What are the adverse effects of phenobarbital?
What is the mechanism of action of phenytoin?
What is the mechanism of action of phenytoin?
Why is caution needed in older adults when administering phenytoin?
Why is caution needed in older adults when administering phenytoin?
What is a common adverse effect of long-term phenytoin use?
What is a common adverse effect of long-term phenytoin use?
What is a contraindication to phenytoin?
What is a contraindication to phenytoin?
How is carbamazepine administered?
How is carbamazepine administered?
What caution is needed for pregnant and breastfeeding women when taking carbamazepine?
What caution is needed for pregnant and breastfeeding women when taking carbamazepine?
What is a key consideration for the administration of IV diazepam?
What is a key consideration for the administration of IV diazepam?
What is a specific goal of diazepam therapy for status epilepticus?
What is a specific goal of diazepam therapy for status epilepticus?
For which conditions is gabapentin approved?
For which conditions is gabapentin approved?
What requires dosage adjustments for gabapentin?
What requires dosage adjustments for gabapentin?
What should be monitored in patients with impaired liver function receiving gabapentin?
What should be monitored in patients with impaired liver function receiving gabapentin?
What is a key concern in combining opioids with benzodiazepines or CNS depressants?
What is a key concern in combining opioids with benzodiazepines or CNS depressants?
Study Notes
QSEN Alert: Safety
- FDA warns about serious adverse effects from combining opioids with benzodiazepines or CNS depressants
- Diazepam should not be mixed in plastic bags or tubing and should not be combined with other solutions
- Diazepam administration requires monitoring of pulse, blood pressure, respiration, and oxygen administration, along with bed rest for 3 hours
- IV form of diazepam should be injected slowly into a large vein, not intra-arterially or into small veins
- Goals of diazepam therapy for seizure disorder and status epilepticus differ
- Nurse assesses for cardiovascular changes, CNS response, and alterations in elimination patterns with diazepam administration
- Patient teaching guidelines for diazepam include advice on alcohol use, contraception, CNS depression, and seizure disorder identification
- Gabapentin is approved for partial seizures and postherpetic neuralgia pain
- Gabapentin's pharmacokinetics, action, and off-label uses
- Dosage adjustments for gabapentin in patients with renal impairment based on creatinine clearance
- Patients with impaired liver function require monitoring for elevated liver enzymes but not a dosage adjustment for gabapentin
- Common adverse effects, contraindications, and nursing implications for gabapentin administration
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Description
Test your knowledge on medication safety with this quiz covering topics such as FDA warnings on opioid and benzodiazepine combinations, administration guidelines for diazepam, and considerations for gabapentin use in patients with renal or liver impairment.
