Lamotrigine (Lamictal) Nursing Considerations

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Kara Tarr
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Outline

Generic Name

lamotrigine

Trade Name

Lamictal

Indication

seizures r/t epilepsy, bipolar

Action

Inhibits sodium transport in neurons

Therapeutic Class

anticonvulsant

Nursing Considerations

• may cause suicidal thoughts, dizziness, behavior changes, nausea, vomiting, photosensitivity,
rash, Stevens-Johnson Syndrome
• use caution with oral contraceptive use
• assess mental status
• assess for seizures
• do not discontinue use abruptly

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Transcript

Hey guys, let’s talk about, Ligen also known as Lamictal. This is an oral medication, as you can see here, remember the therapeutic class of a drug is how the drug works in the body, which in this case is an anti-convulsant. The Mogen works because it inhibits sodium transport in neurons, which is wide is indicated for the treatment of seizures, which are related to epilepsy. And also for bipolar disorder. Some of the side effects that we see with Ligen are nausea, vomiting, dizziness, and photos sensitivity. Let’s take a look at a few nursing considerations for this drug use caution. If the patient is also on oral contraceptives, as oral contraceptives can actually decrease the effectiveness of LiRo gene assess the patient’s mental status and seizures while on LiRo gene LiRo gene may cause Steven Johnson syndrome. It may cause suicidal thoughts in the patient, a rash and also behavior changes. It is important to teach the patient that they should absolutely not discontinue use abruptly, and they should definitely report any suicidal feelings or thoughts. Ligen carries a black box warning with the development of serious reactions like Steven’s Johnson syndrome, toxic epiderm necrolysis and dress syndrome, which occur in the first two to eight weeks of therapy. If a patient reports, any skin eruptions, it is imperative that it is investigated thoroughly. As these skin issues can lead to death in the patient. 

That’s it for Ligen or LA now go out and be your best self today and as always happy nursing.

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DRN 301, Week 8

Concepts Covered:

  • Neurologic and Cognitive Disorders
  • Respiratory Disorders
  • Central Nervous System Disorders – Brain
  • Oncologic Disorders
  • Gastrointestinal Disorders
  • Endocrine and Metabolic Disorders
  • Nervous System
  • Substance Abuse Disorders
  • Intraoperative Nursing
  • Medication Administration
  • Bipolar Disorders
  • Studying
  • Emergency Care of the Neurological Patient
  • Neurological Trauma
  • Cardiovascular Disorders
  • EENT Disorders

Study Plan Lessons

Blood Brain Barrier (BBB)
Corticosteroids
Hydrocephalus
Levels of Consciousness (LOC)
Meningitis
Meningitis Assessment Findings Nursing Mnemonic (FAN LIPS)
Meningitis for Certified Emergency Nursing (CEN)
Nephroblastoma
Neuro Assessment
Nursing Care Plan (NCP) for Cerebral Palsy (CP)
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Meningitis
Nursing Care Plan (NCP) for Neural Tube Defect, Spina Bifida
Nursing Care Plan (NCP) for Omphalocele
Omphalocele
Phenytoin (Dilantin) Nursing Considerations
Phenylketonuria
Spina Bifida – Neural Tube Defect (NTD)
Steroids – Side Effects Nursing Mnemonic (6 S’s)
Nervous System Anatomy
Spinal Cord
Anticonvulsants
Benzodiazepines
Barbiturates
Carbamazepine (Tegretol) Nursing Considerations
Cerebral Palsy (CP)
Divalproex (Depakote) Nursing Considerations
Intracranial Pressure ICP
Lamotrigine (Lamictal) Nursing Considerations
Levetiracetam (Keppra) Nursing Considerations
Medications to Prevent Seizures Nursing Mnemonic (Pretty Little Liars Forever)
Nursing Care and Pathophysiology for Meningitis
Nursing Care and Pathophysiology for Seizure
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Phenytoin (Dilantin) Nursing Considerations
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Documentation Nursing Mnemonic (TDOC)
Seizure Therapeutic Management
Spinal Cord Injury
Cardiac Glycosides
Congenital Heart Defects (CHD)
Cyanotic Defects Nursing Mnemonic (The 4 T’s)
Mixed (Cardiac) Heart Defects
Nursing Care Plan (NCP) for Congenital Heart Defects
Obstructive Heart (Cardiac) Defects
Acute Otitis Media (AOM)