A patient starts lamotrigine for epilepsy and develops a spreading rash with skin tenderness and mouth sores. What is the priority nursing action?
Correct answer: A. Stop further doses and arrange urgent medical assessment
- A. Stop further doses and arrange urgent medical assessment
- B. Apply a moisturising lotion and continue the medicine
- C. Advise sun exposure to dry the affected skin
- D. Give the next dose with food to reduce the rash
Explanation
A spreading rash with mucosal lesions may indicate Stevens-Johnson syndrome, a serious and potentially fatal reaction to lamotrigine. Further doses should be withheld and urgent assessment arranged. A moisturiser or food does not treat this dangerous reaction.
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About Analgesics and CNS Drugs
This area covers opioid and non-opioid analgesics, local anaesthetics, sedatives, anxiolytics, antidepressants, antipsychotics, antiepileptics and drugs for Parkinsonism. It examines therapeutic actions, dependence, respiratory depression, extrapyramidal effects, serotonin related toxicity and the distinction between pain relief, sedation and loss of consciousness.
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