The nurse is speaking before a group of elementary school teachers on the topic of seizure control medications. Which behaviors should the nurse advise the teachers to watch for in children who are taking levetiracetam (Keppra)?
Standard Text: Select all that apply.
1. Sleepiness after lunch
2. Fighting at recess
3. Inability to sit still
4. Tearfulness
5. Difficulty in seeing the blackboard
Correct Answer: 2,3,4
Rationale 1: Levetiracetam (Keppra) would be more likely to cause children to be agitated.
Rationale 2: Levetiracetam (Keppra) can cause hostility in some children and may manifest as inability to get along with others.
Rationale 3: Hyperkinesis is a common side effect of levetiracetam (Keppra).
Rationale 4: Depression is a common side effect of levetiracetam (Keppra).
Rationale 5: There is no indication that difficulty seeing the blackboard is associated with levetiractam (Keppra).
Global Rationale: Levetiracetam (Keppra) can cause hostility in some children and may manifest as inability to get along with others. Hyperkinesis and depression are also common side effects of levetiracetam (Keppra). Levetiracetam (Keppra) would be more likely to cause children to be agitated rather than sleepy. There is no indication that difficulty seeing the blackboard is associated with levetiractam (Keppra).
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