How to Answer Carla Blomquist Year Questions (Complete Guide)
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This question relates to carla blomquist year and requires a structured academic response.
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Original Question
Carla Blomquist, a 25-year-old school teacher, was admitted 1 week ago to the hospital for a workup to determine the cause of grand mal seizures that had begun suddenly 2 weeks previously. Carla has no history of head trauma or recent infection. She takes no medications, and her health has been very good, with no major illnesses or hospitalizations. Carla’s blood pressure is within normal limits. All tests for space-occupying lesions and infections have proved negative. Electroencephalography (EEG) changes are not diagnostic. No cause for the seizures has been determined. However, she is concerned about the effects her seizures may have on her job and family life. Her physician has prescribed the following medications: Phenytoin (Dilantin) 100 mg PO four times daily Phenobarbital (Luminal) 30 mg PO three times daily Her activity level has not been restricted, but she can no longer drive. After 1 month has passed, she is to return to the clinic for evaluation of the medication therapy. Carla has had no seizures since the medications were started. 1. What is the major action of phenytoin? Why is phenobarbital also used? 2. What are some of the CNS effects that Carla might have in relation to taking phenytoin and phenobarbital? 3. You are discharging Carla; what instructions may increase her ability to manage her therapeutic regimen effectively? 4. What education points regarding her medications are of highest priority? 5. What side effects should you include in your teaching instructions? 6. Give examples of medications or foods that could interfere with Carla’s prescribed seizure medications, Phenytoin and Phenobarbital.
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