Sources Cited Format Explained for Students (Easy Guide)
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Original Question
Sources cited in apa format Patient #2 Information: LM 29-year-old female Chief Complaint: Seizures, confusion, and fatigue Medical History: Epilepsy (diagnosed at age 25), occasional breakthrough seizures, no significant other medical history Current Medications: Levetiracetam 500 mg twice daily (for seizure control) Lamotrigine 100 mg daily (for mood stabilization and seizure prevention) Vitamin D 1000 IU daily (for bone health) Subjective Data: LM reports having had three generalized tonic-clonic seizures over the past month, despite being on her prescribed antiseizure medications. She feels confused and exhausted after her seizures and mentions that she’s been experiencing difficulty concentrating and feeling “foggy” throughout the day. She also states that she has recently increased her workload at her job, which may be contributing to her stress levels. Objective Data: Blood pressure: 118/76 mmHg Heart rate: 76 bpm Respiratory rate: 16 breaths per minute Temperature: 98.7°F (37°C) No signs of injury or trauma from seizures Mild cognitive impairment, as observed during assessment (difficulty with short-term recall and attention) Assessment: LM’s breakthrough seizures may be related to inadequate therapeutic levels of her antiseizure medications, possible drug interactions, or insufficient adherence to her treatment plan. The side effects of her antiseizure medications, including fatigue and cognitive difficulties, are also likely contributing to her overall symptoms. Stress from increased work demands may further exacerbate her condition. Plan: Monitor therapeutic drug levels of Levetiracetam and Lamotrigine to ensure efficacy. Assess for potential drug interactions, including any over-the-counter medications or supplements. Encourage stress management techniques, such as relaxation exercises or counseling. Provide education on seizure triggers and the importance of consistent medication adherence. Follow up with her neurologist to discuss medication adjustments or possible add-on therapies. Questions What are the primary mechanisms of action of Levetiracetam and Lamotrigine, and how do they help control seizures? Why might LM be experiencing breakthrough seizures despite taking her medications regularly? What are the common side effects of Levetiracetam and Lamotrigine, and how might they impact LM’s daily life? What are three potential triggers for seizures that the nurse should educate LM about? What are three steps should the nurse take to ensure that LM’s seizure medications are working effectively and safely?
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