Term
| What can an abrupt withdrawal precipitate in a patient/client diagnosed with a seizure disorder? |
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Definition
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Term
| ______________ are considered alterations in consciousness. |
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Definition
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Term
| How long does it typically take phenobarbital to reach therapeutic serum levels? |
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Definition
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Term
| What are the key teaching instructions that you would give a patient/client on phenytoin? |
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Definition
Need for: dental care
alternative contraception
observation of further seizure activity
importance of taking medications
obtaining lab levels
drug serum level
kidney function
liver enzymes |
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Term
| You are caring for a patient who asks you if taking seizure medications will cure his seizure activity. Your best response is? |
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Definition
| No, it will diminish the seizure activity not sure it. |
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Term
| GABA effects potentially have what affect on anti epileptic drugs or (AED's)? |
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Definition
| The GABA effects can alter seizure activity. |
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Term
| You are caring for a patient who asks you why the doctor is placing him on 2 different anti epileptic drugs. Your best response is? |
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Definition
| One drug may not be controlling his seizure activity and two will hopefully help further diminish the seizure activity. |
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Term
| What is a physiological sign of a toxic level of phenytoin? |
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Definition
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Term
| Patients who are on AED's (anti epileptic drugs) are discouraged from becoming pregnant because? |
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Definition
| There is an increased incidence of teratogenesis. |
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Term
| If a patient has discovred that there is availibility of a less expensive alternative to a drug they are taking should you advise them to switch immediately? |
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Definition
| No they need to check with their provider first. |
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Term
| If you are scheduling a patient for a lab draw for a AED drug level, what is the est time of day to do so? |
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Definition
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Term
| Which drugs are contraindicated to use with a patient/client on Tegretol (carbamazepine)? |
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Definition
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Term
| If an epileptic client is pregnant, what nutritional deficiency is she most prone to? |
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Definition
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Term
As with all medications (for the most part) patients/clients should be placed on what level of drug?
Highest
lowest
in between |
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Definition
| Lowest and climb or add a different class of drug |
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Term
| A patient has high alcohol blood levle. If he experiences seizures what type of medication should you administer as the nurse be prepared to administer? |
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Definition
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Term
| What is the drug of choice for a clonic tonic and grand mal seizures? |
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Definition
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Term
| Gingival hypertrophy and weight loss are the main side effects of what anti epileptic drug? |
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Definition
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Term
| What are the major signs and symptoms of eclampsia? |
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Definition
high blood pressure
headache
seizure activity |
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Term
| What type of drug is zonisamide? |
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Definition
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Term
| When are seizures likely to occur after a person has stopped drinking alcohol? |
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Definition
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Term
| When you are looking up a drug and it states that the drug is a category X what does that mean? |
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Definition
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Term
| Normal clotting occurs in about _________ minutes. |
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Definition
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Term
| Fibrinolysis os the process of? |
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Definition
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Term
| What lab test is used to evaluate the effectiveness of heparin? of warfarin? |
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Definition
heparin-aPTT
warfarin-PT/NR |
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Term
| What is the antidote for heparin? for warfarin? |
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Definition
heparin-protamine sulfate
warfarin-vitamin k |
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Term
Warfarin takes how long to reach its maximum effect?
How long does it take to diminish the effects of warfarin? |
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Definition
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Term
| Aspirin inhibits platelet aggregation by inhibiting what chemical compound? |
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Definition
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Term
| Glycoprotein IIb/IIIa blocks the final steps in what process? |
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Definition
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Term
| Lasiz (furosemide) lowers blood pressure by increasing what function in the kidney? |
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Definition
| excretion of water and Na+ (sodium) |
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Term
| How does stepped therapy work in treating a patient/client with hypertension? |
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Definition
| Progressively increase the amount of the drug and adding a different class of drug. |
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Term
All antihypertensive can cause that side effect?
So what 2 vital signs should you make sure that you obtain prior to administering your hypertensives? |
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Definition
hypotension
blood pressure and pulse |
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Term
| What is the unusual side effect experienced by a patient/client on an angiotensin-enzyme inhibitor or ACE? |
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Definition
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Term
| You are caring for a patient/client who is taking Procardia (infedipine). He is back in to the clinic fo a B/P check. He also tells you he has been experiencing heartburn lately and has been taking OTC for it. You ask him specifically what OTC product has he been taking, because you know that his blood pressure medicine will inhibit what ion from working? |
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Definition
| Anything with calcium in it because Procardia or nifedipine is a calcium channel blocker. |
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Term
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Definition
| A disease of the artrial blood vessels. Also known as high blood pressure. |
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Term
| What disease processes have hypertension as a secondary effect? |
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Definition
| Cushing's syndrome, hyperthyroidism, chronic renal disease. |
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Term
| What does systolic pressure represent? |
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Definition
| The force needed to eject blood out of the heart into the arteries of the body. |
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Term
| What does diastolic pressure represent? |
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Definition
| The relaxation of the heart and the fall of the pressure in the arteries of the body. |
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Term
| Regulators of BP include? |
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Definition
| Vasomotor center (air traffic controllers) in the medulla oblongata and baroceptors (spies) in the carotid artery and aorta. |
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Term
| What hormones play an important role in the regulation of BP? |
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Definition
| epinephrine, norepinephrine, ADH, renin-angiotensin-aldosterone system |
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Term
| What class of family ends in "thyaride"? |
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Definition
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Term
| What class of drug end in "pril"? |
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Definition
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Term
| What class of drug ends in "sartan"? |
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Definition
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Term
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Definition
| angiotensin-inhibitor blockers, work by vasodilatation. |
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Term
| What class of drug ends in "pines"? |
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Definition
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Term
| What class of drug ends in "olol"? |
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Definition
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Term
| What class of drug ends on "nitrate"? |
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Definition
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Term
| All seizures are not what? |
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Definition
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Term
| A rapid increase in body temperature causes what type of seizure? |
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Definition
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Term
| What is the best time to check blood levels for antiseizure meds? |
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Definition
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Term
| The solid, insoluble part of a blood clot is called what? |
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Definition
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Term
| What is the antidote for heparin? |
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Definition
| protamine sulfate, IM or IV |
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Term
| What is the antidote for coumedin? |
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Definition
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