Module 6 Content

Question 1

Which anti-seizure medication has a black box warning for dyscrasias?

Answer 1

carbamazepine

Question 2

The use of which anticonvulsant drugs can decrease the effectiveness of oral contraceptives?

Answer 2

phenytoin

Question 3

What is a nonbenzodiazepine used for insomnia?

Answer 3

zolpidem

Question 4

What is a serious adverse effect of benzodiazepines?

Answer 4

can cause respiratory depression

Question 5

What type of precautions should be implemented for those taking a benzodiazepines?

Answer 5

fall precautions

Question 6

What is the use of flumazenil?

Answer 6

benzodiazepine overdose (IV)

Question 7

What lab should be monitored while taking most anti-seizure drugs?

Answer 7

drug serum levels

Question 8

What anti-seizure medication has an adverse effect of gingival hyperplasia?

Answer 8

phenytoin

Question 9

How long can zolpidem insomnia treatment last?

Answer 9

7-10 days (short term)

Question 10

What is a paradoxical response?

Answer 10

experiences opposite effects than intended

Question 11

Why may a patient taking anti-seizure medications experience status epilepticus?

Answer 11

abruptly stopping the med

Question 12

How can you remember benzodiazepines?

Answer 12

end in -lam and -pam

Question 13

What pregnancy category are most anti-seizure medications?

Answer 13

category D

Question 14

How should benzodiazepines be discontinued?

Answer 14

tapered

Question 15

What is one of the most common side effects of zolpidem (used for insomnia)?

Answer 15

headache

Question 16

If a patient is prescribed zolpidem for insomnia, when should they take this med?

Answer 16

immediately before going to bed, as it induces sleep rapidly

Question 17

what effects may occur with zolpidem?

Answer 17

headache, prolonged drowsiness, and dizziness

Question 18

What diagnosis would cause concern for a pt prescribed carbamazepine?

Answer 18

bone marrow suppression (black box warning for blood dyscrasias)

Question 19

What benzodiazepine medication may be used in alcohol withdrawal?

Answer 19

chlordiazepoxide

Question 20

What evaluation would indicate effective treatment of benzodiazepines with alcohol withdrawal?

Answer 20

VS WDL, decrease/absence of seizures, decrease alcohol withdrawal symptoms

Question 21

What medication may be used in the maintenance of sobriety after a patient has detoxed from alcohol toxicity?

Answer 21

disulfiram

Question 22

what side effects may occur if a patient drinks alcohol while taking disulfiram?

Answer 22

nausea, vomiting, flushing, sweating, blurry vision, garlic-like aftertaste,

Question 23

what adverse effects may occur if alcohol is consumed while taking disulfiram?

Answer 23

chest pain, palpitations and hypotension

Question 24

what medication is used for heroin withdrawal?

Answer 24

methadone

Question 25

what precautionary measure should be taken in case of overdose in those taking methadone for heroin withdrawal?

Answer 25

naloxone

Question 26

what are the contraindications for benzodiazepines?

Answer 26

sleep apnea, respiratory depression and glaucoma

Question 27

What medication class may be used in the treatment of GAD (generalized anxiety disorder) and panic disorder?

Answer 27

benzodiazepines (midazolam, lorazepam, halazepam, etc)

Question 28

what is the black box warning for benzodiazepines?

Answer 28

respiratory depression when used with opioids

Question 29

what is the black box warning for flumazenil?

Answer 29

seizures

Question 30

What s/s may indicate a patient is having a paradoxical effect to benzodiazepines?

Answer 30

euphoria, insomnia, excitation, anxiety, and rage

Question 31

what medication is utilized in diagnosing myasthenia gravis (MG)?

Answer 31

neostigmine

Question 32

What are combined carbidopa-levodopa used in the treatment of?

Answer 32

parkinsons

Question 33

What foods/medications should those taking levodopa-carbidopa avoid?

Answer 33

protein foods (meat fish), avoid multivitamins

Question 34

What are the indications for donepezil?

Answer 34

improve the symptoms of alzheimer's, but not as a cure

Question 35

What is atropine used as an antidote for?

Answer 35

cholinergic crisis

Question 36

What would most likely prompt the need for emergent IV administration of dantrolene?

Answer 36

malignant hyperthermia