SOLVED1652
KM is a 32 year old female with a past medical history of hyperlipidemia, hypertension, and COPD. She presents to clinic today for a wellness checkup. Her allergies include sulfa drugs and penicillins. Vitals: BP 142/91 HR 76 SpO2 94% Height 5’8″ Weight 164 lb Medications: Atorvastatin 40 mg daily Lisinopril 20 mg daily Incruse Ellipta 62.5 mg/actuation one puff daily Albuterol inhaler as needed Lo-Loestrin Fe once daily Two weeks ago, she began having seizures. She describes them as jerking in upper and lower extremities, often followed by loss of consciousness and a fall. She was started on phenobarbital by her neurologist, and she had her first level drawn yesterday in neurology clinic. She tells you that her level was 6 mcg/ml. 1. How would you characterize KM’s seizures? 2. What considerations are there when starting an antiepileptic medication in KM? 3. Are there any issues with using phenobarbital in KM? 4. How do you interpret her level?
SCIENCE
HEALTH SCIENCE
NURSING
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