The 7-year-old child is being evaluated for attention deficit or learning disability. The child’s teachers report a lack of attention to detail and an inability to follow direction. The child’s parents report issues at home, too – not doing what is asked and not remembering what has been said. While being evaluated, the child begins to blink rapidly for 20 seconds. Once the episode ends, the child does not remember what happened or the purpose of the appointment. The nurse educates the parents about which adverse effects of first line therapy? Select all that apply.

Question

The 7-year-old child is being evaluated for attention deficit or learning disability. The child&rsquo;s teachers report a lack of attention to detail and an inability to follow direction. The child&rsquo;s parents report issues at home, too &ndash; not doing what is asked and not remembering what has been said. While being evaluated, the child begins to blink rapidly for 20 seconds. Once the episode ends, the child does not remember what happened or the purpose of the appointment. The nurse educates the parents about which adverse effects of first line therapy? Select all that apply.

Accepted Answer

Blood dyscrasias , Stevens-Johnson Syndrome  , Central nervous system depression. The child is exhibiting signs of absence seizures for which the drug of choice is ethosuximide. Adverse effects of ethosuximide include blood dyscrasias, Stevens-Johnson Syndrome, and CNS depression. Nausea, vomiting, and insomnia are adverse effects associated with lamotrigine, which is a second-choice drug for absence seizures.

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