Term
Nursing Considerations
1. Antiseizure meds and _1_.
2. No abrupt withdrawal - wean off over _2_ to _3_ weeks.
3. Some meds have _4_.
4. CNS _5_. |
|
Definition
1.Birth Control
2. 6
3. 12
4. therapeutic levels
5. Depression |
|
|
Term
Positive ions positively enhance activity. ( _1_ and _2_)
Negative ions suppress (_3_) |
|
Definition
|
|
Term
| GABA is an _______ neurotransmitter. |
|
Definition
|
|
Term
Drugs that Potentiate GABA
1.
2.
3. |
|
Definition
1. Barbiturates (Phenobarbital)
2. Miscellanous
3. Benzodiazepines |
|
|
Term
Barbiturates
(Phenobarbital)
Level = _1_ to _2_ mcg/mL
1. Severe ___3___.
2. Nutritional Deficiencies (Vitamins _4_ and _5_, _6_)
3. Metabolized in _7_.
|
|
Definition
1. 15
2. 40
3. CNS depression
4. D
5. K
6. Folic Acid
7. Liver |
|
|
Term
Miscellaneous Drugs Affecting GABA
1.
2.
3.
4.
5. |
|
Definition
1. Gabepentin (Neurontin)
2. Tiagebine (Gabitril)
3. Lamotrigine (Lamictal)
4. Levetiracetam (Keppra)
5. Topirmate (Topamax) |
|
|
Term
Miscellaneous Antiseizure Considerations
1. Unknown _1_.
2. Nursing considerations: _2_, _3_, _4_, _5_.
3. Topamax: _6_, _7_.
(Topamax helps with migraines)
|
|
Definition
1. Method of Action
2. Daytime somnolence
3. Ataxia
4. Fatigue
5.Dizziness
6. weight loss
7. memory difficulty |
|
|
Term
Benzodiazepines
1.
2.
3.
4.
5. |
|
Definition
1. Ativan (Lorazepam)
2. Valium
3. Xanax
4. Clonapin |
|
|
Term
Benzodiazepines: Special Considerations
1._1_
a. Used for _2_ seizure control.
2._3_.
3. NOT with other __4__.
4. Watch _5_.
|
|
Definition
1. Tolerance
a. short term
2. status epilepticus (drug of choice)
3. CNS depressants
4. Digoxin (Increases efficacy) |
|
|
Term
Drugs to Suppress Na+
_1_ and _2_ like drugs.
Note: Desensitize neuronal sodium channels to decrease nueron activity.
- ____ 3____ completely block
MOST USED TYPE |
|
Definition
1. Hydantoin
2. Phenytoin
3. Does not (if we completely blocked, it would be an anesthetic) |
|
|
Term
Drugs Types
Hydantoins
1.
2.
Phenytoin-like
1.
2.
3. |
|
Definition
1. Phenytoin (Dilantin)
2. Fosphenytoin (Cerebyx)
1. Carbamazepine (Tegretol)
2. Valproic acid (Depakote)
3. Zonisamide (Zonegran) |
|
|
Term
Dilantin
(Range = _1_ to _2_ mcg/mL)
1. Administer in _3_ and alone may precipitate with other meds and with dextrose.
- max rate is _4_.
- _5_ may cause tissue damage
2. May cause _6_ and _7_.
3. Must watch _8_ and _9_ because it interferes with packaging. |
|
Definition
1. 10
2. 20
3. NS
4. 50 mg/min
5. IM
6. dysrhythmias
7. bradycardia
8. Vitamin D
9. Calcium |
|
|
Term
Valproic Acid
(Depakene, Depakote)
Level = _1_ to _2_ mcg/mL
1. Can caue fatal _3_.
2. Levels > _4_ mcg/mL can cause thrombocytopenia.
3. Can cause serious GI mucosal irritation if _5_ or _6_.
- Do not serve with _7_. |
|
Definition
1. 50
2. 125
3. hepatotoxicity
4. 100
5. chewed
6. crushed
7. carbonated beverages |
|
|
Term
Carbamazepine (Tegretol)
1. Therapeutic Range = _1_ to _2_ mcg/mL
2. Watch _3_ anemia and _4_.
3. _5_ formulation only. |
|
Definition
1. 4
2. 12
3. aplastic
4. agranulocytosis
5. PO |
|
|
Term
Nursding Considerations for ALL Hydantoin and Phenytoin like drugs
_1_ = dizziness, ataxia, diplopia, lethargy
May affect _2_ metabolism
3. *hint* Diabetes
MULTIPLE _4_ and _5_ interactions.
Increased effects of _6_
Tagamet increases serum levels of _7_. |
|
Definition
1. Toxicity
2. Vitamin K
3. Hyperglycemia
4. Drug/drug
5. Drug/food
6. Coumadin
7. Dilantin |
|
|
