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CNS Medications
Amphetamines and HA
25
Nursing
Undergraduate 2
05/18/2011

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Cards

Term
Action of amphetamines
Definition
Release NE and DA
Term
What systems do amphetamines affect?
Definition
-cardiovascular
-CNS
Term
What are three disadvantages of amphetamines?
Definition
-physical dependence
-abuse
-tolerance
Term
s/e of amphetamines
Definition
1. Euphoria
2. Increased irritability
3. Insomnia
4. HTN
5. Nervousness
6. Weight loss
Term
uses for Stimulants
Definition
ADHD
Obesity
Narcolepsy
Apnea
Term
amphetamines (generic)
Definition
methylphenidate (Ritalin)
amphetamine
Term
Interaction of amphetamines
Definition
1. MAOI- HTN crisis
2. Caffiene - increase CNS stimulants
3. OTC/cold decongestants - increase CNS stimulants
Term
What can be a cause of HA?
Definition
vasodilation
Term
Characteristics of Migraine HA
Definition
-throbbing head pain
-n/v
-sensitivity to light & sound
Term
action of migraine medications
Definition
PREVENTS inflammation & dilation of intercranial blood vessels
Term
s/e of Ergot Alkaloids
(Ergotamine)
Definition
1. GI discomfort (tx w/ reglan)
2. Ergotism ( muscle pain, paresthesia, cold pale extremities) d/c immediately
3. Physical dependence
4. Abortion
Term
action of serotonin receptor antagonist
("triptans"
Definition
increase serotonin levels; causes vasoconstriction
Term
s/e of serotonin receptor antagonists
(Triptans)
Definition
1. Chest symptoms (heavy arms/ chest pressure)
2. Coronary vasospasm/angina
3. Teratogenic
Term
what type of patients is Ergotamine contraindicated in?
Definition
1. renal/liver dysfunction
2. sespsi
3. CAD
4. Pregnant
Term
What type of patients are triptans contraindicated for?
Definition
1. Heart problems (MI, HTN, Ischemia)
Term
s/e of beta blockers
(propanolol)
Definition
1. tiredness, fatigue, depression, ashtma exacerbation
Term
s/e of anticonvulsants
divalproex (depakote)
Definition
Neural tube defects
(avoid during pregnancy)
Term
s/e of TCA
(amitrtiptyline)
Definition
1. Anticholinergic effects
Term
s/e of calcium channel blockers
(Verapamil)
Definition
1. Orhostatic hypotension
2. Constipation
Term
What type of headaches is estrogen used for?
Definition
menstrual HA
Term
What type of interaction occurs with Ergotamine and Sumatriptan?
Definition
-can lead to spasmic rxn of blood vessels
--> AVOID concurrent use
Term
Intearction of triptan and MAOIs
Definition
-> MAOI toxicity
- stop MAOI 2 weeks prior to triptan administration
Term
Uses for Migraine Medications
Definition
1. To abort/prevent migraine attacks
Term
Which classification of Migraine Medications is preferred for prevention?
Definition
Beta blockers
Term
Types of meds for migraine
Definition
1. Ergot Alkaloids
2. Serotonin Receptor Antagonist (triptans)
3. TCA
4. Beta blockers
5. Anticonvulsants (Depakote)
6. CCBlockers (Verapamil)
7. Estrogen
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