Outcomes of Anticonvulsant Therapy and Seizure Management

Outcomes of Anticonvulsant Therapy and Seizure Management ( 5 Questions)

A nurse is caring for a patient who has been diagnosed with epilepsy and has been prescribed carbamazepine (Tegretol). Which of the following statements by the patient indicates understanding of teaching related to this medication?



Correct Answer: C

This statement indicates that the patient understands that carbamazepine can cause a serious skin reaction called Stevens-Johnson syndrome, which requires immediate medical attention. The other statements are incorrect for the following reasons:

 

- A. "I will need to have my blood levels checked every week". This statement is incorrect because carbamazepine levels do not need to be checked every week, but rather every few months or as directed by the doctor.

- B. "I will drink grapefruit juice every morning with my medication". This statement is incorrect because grapefruit juice can increase the blood levels of carbamazepine and cause toxicity. The patient should avoid drinking grapefruit juice while taking this medication.

- D. "I will take my medication with food or milk". This statement is incorrect because carbamazepine should be taken on an empty stomach, at least one hour before or two hours after meals, to ensure optimal absorption. Taking it with food or milk can reduce its effectiveness.




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