Question

In a 22 year old woman using Isotertinoin (Accutaine) therapy, the NP ensures follow up to monitor for all of the following except?

1) hepatic enzymes
2) triglyceride measurement
3) pregnancy
4) platelet count

Answer 1

During Isotertinoin therapy, routine follow-up generally includes hepatic enzyme and triglyceride measurements along with pregnancy tests, but not platelet count monitoring. Platelet count does not require routine follow-up unless specifically indicated by some other condition.

Step-by-step explanation:

In a 22 year old woman using Isotertinoin (Accutaine) therapy, the nurse practitioner (NP) ensures follow-up to monitor for a number of potential side effects due to the teratogenic and systemic nature of the medication. Among the clinical parameters that must be regularly checked are hepatic enzymes and triglyceride measurement, as the medication can cause elevations in these values, indicating potential liver stress or alteration in lipid metabolism. Additionally, monitoring for pregnancy is of utmost importance due to the severe teratogenic effects of the drug, which can lead to various birth defects if used during pregnancy. However, routine monitoring of platelet count is not typically associated with Isotretinoin therapy, making it the correct answer to the question regarding which parameter does not require routine follow-up.