A patient who is taking oral contraceptives begins taking valproic acid [Depakote] for seizures. After a week of therapy with valproic acid, the patient tells the healthcare provider that she is experiencing nausea. What will the healthcare provider do? Contact the provider to request an order for a blood ammonia level, because hyperammonemia can occur with valproic acid therapy. Suggest that the patient perform a home pregnancy test, because valproic acid can reduce the efficacy of oral contraceptives. Ask the patient if she is taking the valproic acid with food, because taking the drug on an empty stomach can cause gastrointestinal side effects. Suspect that hepatotoxicity has occurred, because this is a common adverse effect of valproic acid.
[Expert Solution]: A patient who is taking oral…
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