tailieunhanh - A handbook of drugs in use (Fourth edition): Part 2

(BQ) Continued part 1, part 2 of the document A handbook of drugs in use (Fourth edition) has contents: Parkinson’s disease, substance misuse, symptom control in palliative care, anticoagulant therapy, colorectal surgery, medicines management, managing medicine risk, dementia, schizophrenia, and other contents. Invite you to refer. | 18 Epilepsy Ben Dorward Case study and questions Day 1 Miss SL a 19-year-old student who had recently moved away from home to university was witnessed having a fit by her friends and was taken to the local A E department. The fit had stopped by the time she arrived and Miss SL had no recollection of the event. She was sent home from hospital with paracetamol for the resulting headache and referred to a faints and fits clinic at the local neurology department. At the neurology clinic she commented that she had been experiencing jerking movements for several years most notably in the morning and that these had occasionally led to her dropping her breakfast. Her friends had also commented to her that she was prone to daydreaming. On questioning she stated that initially she had found the transition to university life quite stressful. She admitted to taking full advantage of the social opportunities and to feeling very tired due to having to get up early for lectures after late nights out. The neurologist made a diagnosis of juvenile myoclonic epilepsy JME . Miss SL was prescribed lamotrigine 25 mg once daily increasing to 50 mg once daily after 14 days and was referred to an epilepsy nurse specialist. Q1 What is epilepsy Q2 Is the history of stress significant Q3 Do you agree with the choice of lamotrigine for Miss SL Q4 Is the dose of lamotrigine appropriate Q5 Outline a pharmaceutical care plan for Miss SL. What advice would you offer her if she asked about contraception Q6 What is the role of the epilepsy nurse specialist Month 3 Miss SL presented a prescription for lamotrigine. Her dose was now 50 mg in the morning and 50 mg at night. On receiving the 350 Drugs in Use prescription Miss SL commented that the tablets did not look the same as those she was given at the hospital. On further questioning you realise she was previously dispensed a generic brand of lamotrigine and the general practitioner GP has prescribed the Lamictal brand. Q7 Is there a significant .