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Levetiracetam (Keppra) Nursing Considerations

Levetiracetam (Keppra) Nursing Considerations

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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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Concepts Covered:

Study Plan Lessons

Medical Terminology Course Introduction

Pharmacology Course Introduction

12 Points to Answering Pharmacology Questions

12 Points to Answering Pharmacology Questions

01.01 CCRN Test Overview for CCRN Review

MedTerm Basic Word Structure

54 Common Medication Prefixes and Suffixes

54 Common Medication Prefixes and Suffixes

MedTerm Body as a Whole

MedTerm Suffixes

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Essential NCLEX Meds by Class

Essential NCLEX Meds by Class

MedTerm Prefixes

6 Rights of Medication Administration

6 Rights of Medication Administration

Pharmacodynamics

Pharmacokinetics

The SOCK Method – Overview

The SOCK Method – Overview

The SOCK Method – S

The SOCK Method – S

The SOCK Method – O

The SOCK Method – O

The SOCK Method – C

The SOCK Method – C

The SOCK Method – K

The SOCK Method – K

Basics of Calculations

Basics of Calculations

02.01 Hypertensive Crisis for CCRN Review

Neuro Terminology

Cardiac Terminology

02.02 Cardiomyopathy for CCRN Review

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Oral Medications

Oral Medications

Respiratory Terminology

02.03 Swan-Ganz Catheters for CCRN Review

Digestive Terminology

Injectable Medications

Injectable Medications

02.04 Pulmonary Artery Wedge Pressure (PAWP) for CCRN Review

02.05 Calculating PAWP on PEEP for CCRN Review

IV Infusions (Solutions)

IV Infusions (Solutions)

Urinary Terminology

Complex Calculations (Dosage Calculations/Med Math)

Complex Calculations (Dosage Calculations/Med Math)

02.06 Heart Murmurs for CCRN Review

Reproductive Terminology

Interactive Pharmacology Practice

Musculoskeletal Terminology

02.07 Reading “A, C, V Waves” & PAWP Waveforms for CCRN Review

02.08 Cardiac Catheterization & Acute Coronary Syndrome for CCRN Review

Interactive Practice Drip Calculations

Metabolic & Endocrine Terminology

02.09 12 Lead EKG- Leads 1, 2, 3, aVL, and aVF for CCRN Review

Hematology Oncology & Immunology Terminology

Pediatric Dosage Calculations

02.10 12 Lead EKG- Lead V1-V6 for CCRN Review

Integumentary (Skin) Terminology

02.11 12 Lead EKG- Injuries for CCRN Review

02.12 Myocardial Infarction- Inferior Wall for CCRN Review

02.13 Myocardial Infarction – Anterior Septal Wall for CCRN Review

02.14 Shock Stages for CCRN Review

02.15 Hypovolemic Shock for CCRN Review

02.16 Cardiogenic Shock for CCRN Review

02.17 Septic Shock for CCRN Review

02.18 Cardiovascular Practice Questions for CCRN Review

Disease Specific Medications

Sensory Terminology

03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review

03.02 Diabetes Insipidus for CCRN Review

Pharmacology Terminology

03.03 Hypoglycemia for CCRN Review

Psychiatry Terminology

Diagnostics Terminology

03.04 DKA vs HHNK for CCRN Review

03.05 Endocrine Practice Questions for CCRN Review

Procedural Terminology

Antianxiety Meds

04.01 Hematology for CCRN Review

Benzodiazepines

Benzodiazepines

04.02 Hematology Review Questions for CCRN Review

ACLS (Advanced cardiac life support) Drugs

05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review

05.02 Liver Overview and Disease for CCRN Review

05.03 Jaundice for CCRN Review

05.04 Ruptured Spleen for CCRN Review

05.05 GI Practice Questions for CCRN Review

Anti-Platelet Aggregate

06.01 Organ Failure, Dysfunction & Trauma for CCRN Review

NG Tube Medication Administration

06.02 Poisoning for CCRN Review

06.03 Multi-System CCRN Important Points for CCRN Review

06.04 Differentiating Ectopy and Aberrancy for CCRN Review

Thrombin Inhibitors

06.05 Wide Complex Tachycardia for CCRN Review

Anticonvulsants

07.01 CVA (Cerebrovascular Accident/Stroke) for CCRN Review

07.02 Neuro Anatomy for CCRN Review

07.03 Uncal Herniation for CCRN Review

07.04 Supratentorial Herniation and Glasgow Coma Scale for CCRN Review

07.05 Supratentorial Herniation: Cushings Triad for CCRN Review

07.06 Increased Intracranial Pressure (ICP) for CCRN Review

07.07 Cerebral Perfusion Pressure for CCRN Review

07.08 Basilar Skull Fracture for CCRN Review

07.09 Meningitis for CCRN Review

07.10 Neurologic Review questions for CCRN Review

Antidepressants

08.01 Psychological Review for CCRN Review

09.01 Acute Renal Failure Overview for CCRN Review

Antidiabetic Agents

09.02 Acute Tubular Necrosis for CCRN Review

09.03 Acute Renal (Pre-Renal vs Renal) Failure for CCRN Review

09.04 Continuous Renal Replacement Therapy for CCRN Review

09.05 Chronic Renal Failure for CCRN Review

09.06 Renal Practice Questions for CCRN Review

Insulin – Mixtures (70/30)

10.01 Arterial Blood Gas (ABG) Interpretation for CCRN Review

Histamine 1 Receptor Blockers

Histamine 1 Receptor Blockers

10.02 Breath Sounds for CCRN Review

10.03 Acute Respiratory Failure for CCRN Review

Histamine 2 Receptor Blockers

Histamine 2 Receptor Blockers

10.04 Pulmonary Question Review for CCRN Review

Renin Angiotensin Aldosterone System

Renin Angiotensin Aldosterone System

Sympatholytics (Alpha & Beta Blockers)

ACE (angiotensin-converting enzyme) Inhibitors

ACE (angiotensin-converting enzyme) Inhibitors

Angiotensin Receptor Blockers

Angiotensin Receptor Blockers

Calcium Channel Blockers

Calcium Channel Blockers

Cardiac Glycosides

Cardiac Glycosides

Anti-Infective – Aminoglycosides

Anti-Infective – Antifungals

Metronidazole (Flagyl) Nursing Considerations

Anti-Infective – Antitubercular

Anti-Infective – Antivirals

Anti-Infective – Carbapenems

Anti-Infective – Fluoroquinolones

Ciprofloxacin (Cipro) Nursing Considerations

Anti-Infective – Glycopeptide

Vancomycin (Vancocin) Nursing Considerations

Anti-Infective – Lincosamide

Anti-Infective – Macrolides

Anti-Infective – Penicillins and Cephalosporins

Anti-Infective – Penicillins and Cephalosporins

Anti-Infective – Sulfonamides

Anti-Infective – Tetracyclines

Atypical Antipsychotics

Atypical Antipsychotics

Autonomic Nervous System (ANS)

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Parasympathomimetics (Cholinergics) Nursing Considerations

Parasympatholytics (Anticholinergics) Nursing Considerations

Bronchodilators

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Proton Pump Inhibitors

HMG-CoA Reductase Inhibitors (Statins)

HMG-CoA Reductase Inhibitors (Statins)

Magnesium Sulfate

Magnesium Sulfate

Mood Stabilizers

Meds for Postpartum Hemorrhage (PPH)

Prostaglandins in Pregnancy

Rh Immune Globulin in Pregnancy

Lung Surfactant for Newborns

Eye Prophylaxis for Newborn

Phytonadione (Vitamin K) for Newborn

Opioid Analgesics in Pregnancy

Sedatives-Hypnotics

Anesthetic Agents

Corticosteroids

Corticosteroids

Betamethasone and Dexamethasone in Pregnancy

Hydralazine (Apresoline) Nursing Considerations

Nitro Compounds

Nitro Compounds

ACLS (Advanced cardiac life support) Drugs

Anti-Infective – Aminoglycosides

Anti-Infective – Carbapenems

Anti-Infective – Macrolides

Anti-Infective – Fluoroquinolones

Anti-Infective – Sulfonamides

Anti-Infective – Tetracyclines

Anti-Infective – Antifungals

Anti-Infective – Antivirals

Anti-Infective – Lincosamide

Anticonvulsants

Antidiabetic Agents

Sympatholytics (Alpha & Beta Blockers)

Anti-Infective – Antitubercular

Anti-Infective – Glycopeptide

Bronchodilators

Anesthetic Agents

Antineoplastics

Alkylating Agents

Antimetabolites

Anti Tumor Antibiotics

Plant Alkaloids Topoisomerase and Mitotic Inhibitors

Patient Controlled Analgesia (PCA)

ABG (Arterial Blood Gas) Interpretation-The Basics

ABG (Arterial Blood Gas) Oxygenation

ABG Course (Arterial Blood Gas) Introduction

ABGs Nursing Normal Lab Values

ABGs Tic-Tac-Toe interpretation Method

Acetaminophen (Tylenol) Nursing Considerations

Acyclovir (Zovirax) Nursing Considerations

Adenosine (Adenocard) Nursing Considerations

Albuterol (Ventolin) Nursing Considerations

Alendronate (Fosamax) Nursing Considerations

Alprazolam (Xanax) Nursing Considerations

Alteplase (tPA, Activase) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Amitriptyline (Elavil) Nursing Considerations

Amlodipine (Norvasc) Nursing Considerations

Amoxicillin (Amoxil) Nursing Considerations

Ampicillin (Omnipen) Nursing Considerations

ASA (Aspirin) Nursing Considerations

Atenolol (Tenormin) Nursing Considerations

Atorvastatin (Lipitor) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

Base Excess & Deficit

Benztropine (Cogentin) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations

Bupropion (Wellbutrin) Nursing Considerations

Buspirone (Buspar) Nursing Considerations

Butorphanol (Stadol) Nursing Considerations

Calcium Acetate (PhosLo) Nursing Considerations

Calcium Carbonate (Tums) Nursing Considerations

Captopril (Capoten) Nursing Considerations

Carbamazepine (Tegretol) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Cefaclor (Ceclor) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Cephalexin (Keflex) Nursing Considerations

Chlorpromazine (Thorazine) Nursing Considerations

Cimetidine (Tagamet) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Clindamycin (Cleocin) Nursing Considerations

Clopidogrel (Plavix) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Cortisone (Cortone) Nursing Considerations

Cyclosporine (Sandimmune) Nursing Considerations

Dexamethasone (Decadron) Nursing Considerations

Diazepam (Valium) Nursing Considerations

Digoxin (Lanoxin) Nursing Considerations

Diltiazem (Cardizem) Nursing Considerations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Diphenhydramine (Benadryl) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Divalproex (Depakote) Nursing Considerations

Dobutamine (Dobutrex) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Enalapril (Vasotec) Nursing Considerations

Enoxaparin (Lovenox) Nursing Considerations

Epinephrine (EpiPen) Nursing Considerations

Epoetin (Epogen) Nursing Considerations

Erythromycin (Erythrocin) Nursing Considerations

Escitalopram (Lexapro) Nursing Considerations

Famotidine (Pepcid) Nursing Considerations

Fentanyl (Duragesic) Nursing Considerations

Ferrous Sulfate (Iron) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

Furosemide (Lasix) Nursing Considerations

Gabapentin (Neurontin) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Glipizide (Glucotrol) Nursing Considerations

Glucagon (GlucaGen) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Haloperidol (Haldol) Nursing Considerations

Heparin (Hep-Lock) Nursing Considerations

Hepatitis B Vaccine for Newborns

Hydralazine (Apresoline) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Ibuprofen (Motrin) Nursing Considerations

Indomethacin (Indocin) Nursing Considerations

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Iodine Nursing Considerations

Isoniazid (Niazid) Nursing Considerations

Ketorolac (Toradol) Nursing Considerations

Lactulose (Generlac) Nursing Considerations

Lamotrigine (Lamictal) Nursing Considerations

Levetiracetam (Keppra) Nursing Considerations

Levofloxacin (Levaquin) Nursing Considerations

Lidocaine (Xylocaine) Nursing Considerations

Lisinopril (Prinivil) Nursing Considerations

Lithium (Lithonate) Nursing Considerations

Loperamide (Imodium) Nursing Considerations

Lorazepam (Ativan) Nursing Considerations

Losartan (Cozaar) Nursing Considerations

Magnesium Sulfate (MgSO4) Nursing Considerations

Mannitol (Osmitrol) Nursing Considerations

Meperidine (Demerol) Nursing Considerations

Meropenem (Merrem) Nursing Considerations

Metabolic Acidosis (interpretation and nursing diagnosis)

Metabolic Alkalosis

Metformin (Glucophage) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Methylergonovine (Methergine) Nursing Considerations

Methylphenidate (Concerta) Nursing Considerations

Methylprednisolone (Solu-Medrol) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Metoprolol (Toprol XL) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

Midazolam (Versed) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Nalbuphine (Nubain) Nursing Considerations

Naproxen (Aleve) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

Nifedipine (Procardia) Nursing Considerations

Nitroglycerin (Nitrostat) Nursing Considerations

Nitroprusside (Nitropress) Nursing Considerations

Norepinephrine (Levophed) Nursing Considerations

Nystatin (Mycostatin) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

Omeprazole (Prilosec) Nursing Considerations

Ondansetron (Zofran) Nursing Considerations

Oxycodone (OxyContin) Nursing Considerations

Oxytocin (Pitocin) Nursing Considerations

Pancrelipase (Pancreaze) Nursing Considerations

Pantoprazole (Protonix) Nursing Considerations

Parasympatholytics (Anticholinergics) Nursing Considerations

Parasympathomimetics (Cholinergics) Nursing Considerations

Paroxetine (Paxil) Nursing Considerations

Pentobarbital (Nembutal) Nursing Considerations

Phenazopyridine (Pyridium) Nursing Considerations

Phenobarbital (Luminal) Nursing Considerations

Phenytoin (Dilantin) Nursing Considerations

Procainamide (Pronestyl) Nursing Considerations

Promethazine (Phenergan) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Propranolol (Inderal) Nursing Considerations

Propylthiouracil (PTU) Nursing Considerations

Proton Pump Inhibitors

Quetiapine (Seroquel) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Respiratory Acidosis (interpretation and nursing interventions)

Respiratory Alkalosis

Rifampin (Rifadin) Nursing Considerations

ROME – ABG (Arterial Blood Gas) Interpretation

Salmeterol (Serevent) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Sertraline (Zoloft) Nursing Considerations

Spironolactone (Aldactone) Nursing Considerations

Streptokinase (Streptase) Nursing Considerations

Sucralfate (Carafate) Nursing Considerations

Terbutaline (Brethine) Nursing Considerations

Tetracycline (Panmycin) Nursing Considerations

Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Vasopressin (Pitressin) Nursing Considerations

Verapamil (Calan) Nursing Considerations

Warfarin (Coumadin) Nursing Considerations