- e. a. g. f. d. b. e. c. May occur with anticonvulsants: Nausea/vomitingProlonged bleeding time (with valproic acid) Weight ga i n*Drowsiness; dizzinessHypotension; arrhythmias; pulse irregularitiesBlood dyscrasiasPolyuria; dehydrationRisk of severe rash (with lamotrigine) May give with food or milk to minimize GI upset. May subside after initial week or two. Monitor daily Ensure that client understands the importance of Ensure t hat client is informed t hat he or she must report Monitor vital signs two or three times a day. Physician regular blood tests while receiving anticonvulsant therapy. intake and output and weight. Monitor skin turgor daily. Ensure that client does not operate dangerous machin-ery or participate in activities that require alertness. Provide instructions for reduced calorie diet. Emphasize Ensure that platelet counts and bleed time are deter-mined before initiation of therapy with valproic acid. Monitor for spontaneous bleeding or bruising. importance of maintaining adequate intake of sodium. may decrease dose of medication. Mood-Stabilizing Drugs ●^469
2 2506_Ch27_447-471.indd 0469 506 Ch 27 447 - 471 .indd 3.^0 469 f. g. c. a. May occur with calcium channel blockers: b. FDA, December 2008) Hypotension; bradycardiaDrowsiness; dizzinesstopiramate) **Decreased effiRisk of suicide with all antiepileptic drugs Nausea^ May give with food to minimize GI upset.^ Take vital signs just before initiation of therapy and Ensure that client does not operate dangerous machin-Ensure that client is aware of decreased effiMonitor for worsening of depression, suicidal thoughts or Report marked changes immediately. evidence of skin rash to physician immediately. contraceptives with concomitant use. ery or participate in activities that require alertness. before daily administration of the medication. Physician will provide acceptable parameters for administration. behavior, or any unusual changes in mood or behavior. cacy of oral contraceptives (with cacy of oral (warning by 1 10/1/10 9:39:49 AM 0 / 1 / 10 9 : 39 : 49 AM
barré
(Barré)
#1