Exam 15: Drugs Affecting the Central Nervous System

Jack, age 8, has attention deficit disorder (ADD) and is prescribed methylphenidate (Ritalin). He and his parents should be educated about the side effects of methylphenidate, which are:

Cynthia is taking valproate (Depakote) for seizures and would like to get pregnant. What advice would you give her?

When prescribing temazepam (Restoril) for insomnia, patient education includes:

Carbamazepine has a Black Box Warning due to life-threatening:

Patients should be instructed regarding the rapid onset of zolpidem (Ambien) because:

Kirk sprained his ankle and is asking for pain medication for his mild-to-moderate pain. The appropriate first-line medication would be:

Jake, a 45-year-old patient with schizophrenia, was recently hospitalized for acute psychosis due to medication noncompliance. He was treated with IM long-acting haloperidol. Besides monitoring his schizophrenia symptoms, the patient should be assessed by his primary care provider:

Levetiracetam has known drug interactions with:

Monitoring for a child on methylphenidate for attention deficit hyperactivity disorder (ADHD) includes:

Selma, who is overweight, recently started taking topiramate for seizures and at her follow-up visit you note she has lost 3 kg. The appropriate action would be:

When prescribing Adderall (amphetamine and dextroamphetamine) to adults with ADHD the nurse practitioner will need to monitor:

Cecilia presents with depression associated with complaints of fatigue, sleeping all the time, and lack of motivation. An appropriate initial antidepressant for her would be:

Cara is taking levetiracetam (Keppra) to treat seizures. Routine education for levetiracetam includes reminding her:

Six-year-old Lucy has recently been started on ethosuximide (Zarontin) for seizures. She should be monitored for:

Sook has been prescribed gabapentin to treat neuropathic pain and is complaining of feeling depressed and having "strange" thoughts. The appropriate initial action would be:

Antonia is a 3-year-old child who has a history of status epilepticus. Along with her routine antiseizure medication, she should also have a home prescription for_________ to be used for an episode of status epilepticus.

A 19-year-old male was started on risperidone. Monitoring for risperidone includes observing for common side effects, including:

In choosing a benzodiazepam to treat anxiety the prescriber needs to be aware of the possibility of dependence. The benzodiazepam with the greatest likelihood of rapidly developing dependence is: