Levetiracetam (Keppra) Nursing Considerations

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Kara Tarr
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Outline

Generic Name

levetiracetam

Trade Name

Keppra

Indication

Seizures

Action

decreases severity and incidence of seizures by inhibiting presynaptic calcium channels and reducing neurotransmitter realease

Therapeutic Class

anticonvulsants

Pharmacologic Class

pyrrolidines

Nursing Considerations

• May cause suicidal thoughts, dizziness, weakness
• May alter RBC, WBC, and liver function
• May cause somnolence
• Should be infused over 15 minutes

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Transcript

Okay, let’s take a look at tream. Also known as Keppra. This is an oral medication, as you can see here, and it also comes in an intravenous form, the therapeutic class, or how Lev tream works in the body is an anticonvulsant and the pharmacologic class or the chemical effect is a Perine Lev tream works by decreasing the severity and incidents of seizure seizures, which is wide indicated for this issue, Lev or Keppra inhibits pre-synaptic calcium channel, reducing neurotransmitter release. We do see some side effects with Lev vitam or Keppra, which include things like som dizziness and weakness. 

Lev vitam may alter red blood cells, white blood cells and liver function. So these things should be monitored during therapy. In addition to the side effects already mentioned, Lev vitam may cause suicidal thoughts when administering Keppra intravenously, it should be infused over a 15 minute time period. Be sure to teach the patient to report any thoughts of suicide to the provider. So guys, this drug can cause some serious skin eruptions like Stevens, Johnson syndrome and 10 syndrome. So if your patient reports any issues like this, they need to be evaluated immediately because these issues can result in patient death. That’s it for Lev vitam or Keppra not go out and be your best self today. And as always happy nursing.

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Exam 2 10/22/25

Concepts Covered:

  • Hematologic Disorders
  • Terminology
  • Central Nervous System Disorders – Brain
  • Medication Administration
  • Neurologic and Cognitive Disorders
  • Peripheral Nervous System Disorders
  • Intraoperative Nursing
  • Acute & Chronic Renal Disorders
  • Immunological Disorders
  • Emergency Care of the Neurological Patient
  • Studying
  • Neurological Emergencies
  • Respiratory Disorders
  • Oncology Disorders
  • Oncologic Disorders
  • Test Taking Strategies
  • Cognitive Disorders
  • Documentation and Communication
  • Legal and Ethical Issues
  • Communication
  • Basics of NCLEX
  • Preoperative Nursing
  • Substance Abuse Disorders
  • Hematologic Disorders
  • Emotions and Motivation
  • Labor Complications
  • Statistics
  • Cardiac Disorders
  • Emergency Care of the Cardiac Patient

Study Plan Lessons

Hematology Module Intro
Hematology Oncology & Immunology Terminology
Hematology/Oncology/Immunology Course Introduction
Benztropine (Cogentin) Nursing Considerations
Blood Brain Barrier (BBB)
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Neuro Disorders Module Intro
Nursing Care and Pathophysiology for Parkinsons
Nursing Care Plan (NCP) for Parkinson’s Disease
Anticonvulsants
Barbiturates
Ferrous Sulfate (Iron) Nursing Considerations
Epoetin (Epogen) Nursing Considerations
Gabapentin (Neurontin) Nursing Considerations
Levetiracetam (Keppra) Nursing Considerations
Nursing Care and Pathophysiology for Seizure
Phenobarbital (Luminal) Nursing Considerations
Phenytoin (Dilantin) Nursing Considerations
Seizure Assessment
Seizure Causes (Epilepsy, Generalized)
Seizure Causes Nursing Mnemonic (VITAMIN)
Seizure Disorders for Certified Emergency Nursing (CEN)
Seizure Documentation Nursing Mnemonic (TDOC)
Seizure Management in the ER
Seizure Therapeutic Management
Seizures Case Study (45 min)
Seizures Module Intro
Stroke Nursing Care (CVA)
Transient Ischemic Attack (TIA) for Certified Emergency Nursing (CEN)
Hematocrit (Hct) Lab Values
Oncology Module Intro
Oncology Important Points
Oncology nurse
Pediatric Oncology Basics
12 Points to Answering Pharmacology Questions
Alzheimer – Diagnosis Nursing Mnemonic (The 5 A’s)
Documentation Basics
Fundamentals Course Introduction
How to Write a Nursing Care Plan
How to Write A Nursing Progress Note
How to Take Nursing Report
Communicating with Providers
Communicating With Providers
Communicating With Other nurses
Giving Handoff Report
Handoff Report
Health Assessment Course Introduction
Head to Toe Nursing Assessment (Physical Exam)
Intro to Health Assessment
Introduction to Health Assessment
Iron Deficiency Anemia
Maslow’s Hierarchy of Needs in Nursing
Alkylating Agents
Antimetabolites
Antineoplastics
Blood Transfusions (Administration)
Epoetin Alfa
Ferrous Sulfate (Iron) Nursing Considerations
Hematocrit (Hct) Lab Values
Iron (Fe) Lab Values
Ischemic (CVA) Stroke Labs
Leukemia
Leukemia
Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)
Mean Corpuscular Volume (MCV) Lab Values
Mean Platelet Volume (MPV) Lab Values
Multiple Myeloma
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Leukemia
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Sickle Cell Anemia
Nursing Care Plan (NCP) for Thrombocytopenia
Oncology Important Points
Red Blood Cell (RBC) Lab Values
Red Cell Distribution Width (RDW) Lab Values
Sickle Cell Anemia
Sinus Tachycardia
Thrombocytopenia
Total Iron Binding Capacity (TIBC) Lab Values
Vitamin B12 Lab Values
Types of Anemia Nursing Mnemonic (Always Introduce Special Patients)