ATI Medication Lamotrigine PDF

Preview

Summary

ATI Medication Lamotrigine...

Description

ACTIVE LEARNING TEMPLATE:

Medication

Abigail, Sthecie, Mikayla STUDENT NAME Deja, _____________________________________ MEDICATION Lamotrigine __________________________________________________________________________

REVIEW MODULE CHAPTER ___________

CATEGORY CLASS Anticonvulsant ______________________________________________________________________

PURPOSE OF MEDICATION

Expected Pharmacological Action Lamotrigine acts by inhibiting sodium currents suppressing the release of glutamate.

Therapeutic Use Lamotrigine is used to treat seizures. It is also used as maintenance treatment in patients with bipolar disorder to help delay the occurrence of mood episodes such as depression, mania, or hypomania.

Complications CNS: Aseptic meningitis, suicidal thoughts, ataxia, dizziness, headache, behavior changes, depression, drowsiness, insomnia, tremor EENT: Blurred vision, double vision, rhinitis GI: Hepatic failure, nausea, vomiting Derm: Rash Other: Steven-Johnsons syndrome

Medication Administration PO

Contraindications/Precautions Meningitis not due to an infection, low blood counts due to bone marrow failure, anemia, decreased blood platelets, low levels of a type of white blood cell called neutrophils, suicidal thoughts, depression, brugada syndrome, chronic kidney disease, Child-Pugh class B and C liver impairment

Interactions Concurrent use with carbamazepine, phenobarbital, phenytoin, primidone, estrogen-containing oral contraceptives rifampin, lopinavir/ritonavir, valproic acid

Nursing Interventions Monitor for suicidal ideation, assess pt for skin rash, monitor for signs and symptoms of multiorgan hypersensitivity reactions, caution pt to wear sunscreen and protective clothing to prevent photosensitivity reactions

Client Education Evaluation of Medication Effectiveness Decrease in frequency of or cessation of seizures. Decreased incidence of mood swings in bipolar disorders.

ACTIVE LEARNING TEMPLATES

Instruct pt to take medication exactly as directed, take missed doses asap, do not discontinue abruptly, caution pt to avoid driving, advise pt to report any skin rashes, fever, or swollen lymph glands

THERAPEUTIC PROCEDURE

A7...