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After talking to the patient you find out LT has been incompliant with her three times a day Valproic acid, level came back at 35 mmol/L.
What is the most appropriate course of action?
Suggested Answer: D
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The delayed-release action of divalproex allows for less frequent dosing than valproic acid in some patients. Divalproex sodium contains sodium valproate and valproic acid in a 1:1 molar stable co-ordination compound. Valproic acid, sodium valproate, and divalproex share the same pharmacology; however, there are pharmacokinetic differences among products.
12 comments · newest first
JA
James
11 months ago
Definitely need to check albumin levels before making any changes.
ST
Stephen
12 months ago
Wait, is 35 really considered normal? I thought it was low!
GL
Glenn
12 months ago
Actually, 35 mmol/L is on the low side, so increasing the dose might be needed.
RE
Rene
12 months ago
I think we should notify the physician about the compliance issue.
LU
Lucille
1 year ago
Valproic acid levels should be around 50-100 mmol/L.
VI
Vivan
1 year ago
I thought that if the level is 35 mmol/L, it might be considered normal, but I’m unsure if we should still notify the physician about the noncompliance.
LE
Levi
1 year ago
I think we might need to check the albumin level to see if we need to correct the Valproic acid level. That sounds familiar from our practice questions.
GI
Gilberto
1 year ago
I remember that Valproic acid levels should be monitored closely, but I'm not sure what to do if the patient is noncompliant.
DO
Donte
1 year ago
I feel like the level is a bit high, but I can't recall if we should decrease the dose or if it's okay since it's within the normal range.
DO
Dominque
1 year ago
Okay, I think I've got this. The 'happy day' term is likely related to protocol analysis, where we examine the steps a user takes to complete a task and identify positive moments in their journey.
JU
Jules
1 year ago
The "D" in DMAIC stands for "Define," I'm sure of it. This is a straightforward question, so I'll confidently select the "False" option.
YV
Yvette
1 year ago
I'm struggling to remember the differences between service-level and capability-level profiles. I feel like option B might be the right choice since it's about the overall purpose.