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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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)