NURS 3438 Study Guide - Midterm Guide: Neural Tube Defect, Gingival Enlargement, Aplastic Anemia
25 Jun 2019
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P sure this is comprehensive of the bolded meds from slides. If u have anything else relevant plz add xoxo. Rate depends o n blood levels, not proportional to dose given. Risk of serious fetal malformations- risk rises w additional aeds. Agranulocytosis, aplastic anemia, leukopenia, thrombocytopenia (cbc)- spec. to carba. Alternative to lithium as mood-stabilizer for bipolar illness. No interference w/oral contraceptive (most other aeds do!) Most teratogenic anticonvulsant highest risk of neural tube defects, low iq, autism in children, risk to fetus more serious if maternal seizure occurs. Used for all seizures, nerve pain and restless leg syndrome changes in behavior memory problems trouble concentrating. Anticonvulsants (aeds)^^^^: prescribing/monitored neurologist, monotherapy preferred, monitoring of blood levels is important, switching drugs is problematic, low adherence is #1 cause of failure, abrupt cessation of therapy is dangerous, some ades may be helpful for one seizure type and worsen another.
