NUM3511 Pharmacology Portfolio Case Study 4

Katie Karlsson, a 15 year old girl, has recently been diagnosed with epilepsy by her neurologist. About six years ago she suffered a slight concussion as the result of a fall when skiing. There were no further neurological problems until two weeks ago, when she reported experiencing a strange sensation. This was followed by a tonic-clonic seizure.

Question One

The neurologist commences Katie on anticonvulsant medication. She is commenced on 300mg phenytoin PO daily.

Question One

What patient education could you offer Katie and her parents immediately following her diagnosis?

(Note: Your answer should take into consider Katie's medical history and all medication received. Remember to incorporate latest evidence based practice in your answer)

Word Count: 200-300 words

Themba Ndlovu - Murdoch University

Worksheet:

Question Two

After several weeks of therapy, Katie has another tonic-clonic seizure and phenobarbital (phenobarbitone) 150mg PO daily is added to her treatment program. This brings the seizures under control.

Given your knowledge of these drugs and their use in seizure management, what is the likely rationale behind adding a second anticonvulsant?

(Note: Your answer should take into consider Katie's medical history and all medication received. Remember to incorporate latest evidence based practice in your answer)

Word Count: 200-300 words

Question Three

About six months after starting the treatment program, Katie tells her mother that her gums seem to be increasing in size and are covering more of her teeth. Her mother believes this could be related to the medication and calls to schedule an appointment with the neurologist.

Given your knowledge of her medication, what might be the cause of gingival hyperplasia? What advice should you give to Katie and her mother?

(Note: Your answer should take into consider Katie's medical history and all medication received. Remember to incorporate latest evidence based practice in your answer)

Word Count: 200-300 words

References

List all references used in the box below (references should also be cited in text where relevant). You must follow APA referencing requirements throughout.

This case study has been adapted from a case study developed by Broyles et al. in Pharmacology for Nursing. 3rd Australian and New Zealand Edition.

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