A patient taking carbamazepine for epilepsy develops fever, sore throat and mouth ulcers. Which finding is the main concern?
Correct answer: A. Possible blood dyscrasia
- A. Possible blood dyscrasia
- B. Expected improvement in appetite
- C. Mild opioid withdrawal
- D. Normal therapeutic response
Explanation
Fever, sore throat and mouth ulcers may indicate leukopenia or agranulocytosis, which can occur with carbamazepine. The nurse should report the symptoms and expect blood count assessment because infection may become severe.
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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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