Pharmacology Seizure meds #3

Question

The nurse is assessing a client who is having a 6-month check-up to monitor carbamazepine and the neurologic system because of seizure activity. The client has been taking carbamazepine for 2 years, but recently had the dose adjusted from 200 mg twice daily to 500 mg twice daily. What important adverse side effects of the drug will the nurse monitor? Select all that apply.

Answers

  1. Urine retention
    • Rationale:

      This answer is not correct because urine retention is not a side effect of carbamazepine. Side effects of the medication carbamazepine bone marrow depression which may result in signs of bruising and sore throat and liver impairment which causes light-colored stool.

  2. Sore throat
    • Rationale:

      This answer is correct because side effects of the medication carbamazepine include bone marrow depression which may result in signs of bruising and sore throat and liver impairment which causes light-colored stool.

  3. Bruising
    • Rationale:

      This answer is correct because side effects of the medication carbamazepine include bone marrow depression which may result in signs of bruising and sore throat and liver impairment which causes light-colored stool.

  4. Light-colored stool
    • Rationale:

      This answer is correct because side effects of the medication carbamazepine include bone marrow depression which may result in signs of bruising and sore throat and liver impairment which causes light-colored stool.

  5. Mental status change
    • Rationale:

      This answer is correct because carbamazepine can cause hyponatremia due to increased ADH which leads to low sodium levels. The first sign of hyponatremia is confusion or mental status change.

Overview

Carbamazepine has the side effects including bone marrow depression which may result in signs of bruising and sore throat and liver impairment which causes light-colored stool.

Explanation

The correct answer is B, C, D. Side effects of the medication carbamazepine include bone marrow depression which may result in signs of bruising and sore throat. Other side effects include liver impairment such as light-colored stool, and Steven Johnson Syndrome.

Learning Outcomes

Carbamazepine is an anticonvulsant that is used to treat seizures, nerve pain, and bipolar disorder. Side effects of the medication, carbamazepine, include bone marrow depression which may result in signs of bruising and sore throat and liver impairment which causes light-colored stool. The nurse should teach the client to monitor signs of bleeding, including bruising, bleeding gums, and blood in the stool. Infection control measures should be taught, such as careful hand washing and monitoring for signs of infections including fever and sore throat. The client should be taught to report liver impairment symptoms such as light colored stool, yellow skin and sclera, and dark-colored urine.

Test Taking Tip

Remember to watch for liver impairment symptoms such as light colored stool, yellow skin and sclera, and dark-colored urine.

Video Rationale