Anitseizure Flashcards

1
Q

Status Epilepticus

A

a sx lasting over 5min with no period of rest

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2
Q

what meds are used to treat status epilepticus

A

phenobarbital
clonazepam
phenotonin

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3
Q

What meds are used for absent sz

A

succinimides

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4
Q

what is an absent sz

A

abrupt LOC for ~ 5 sec
3y/o>adolescent
no muscle contraction

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5
Q

Tonic clonic sz is

A

contraction of muscles followed by postictal period

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6
Q

myoclonic sz

A

generalized sz

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7
Q

T or F sz meds can affect the fetus

A

T risk v benefit

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8
Q

Hydantonins

A

Phenytoin

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9
Q

Action of Phenytoin

A

stabilize nerve membranes/decrease excitability

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10
Q

Contraindications of phenytoin

A

allergy

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11
Q

Caution of phenytoin

A

elderly/debilitated pt
renal/liver impair
depression/psychosis

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12
Q

ADE of phenytoin

A

CNS depressed
cardiac arrhythmias
hypoTN
SEVERE HEPATOTOXICITY

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13
Q

What is a common ADE for all sz meds

A

urinary retention
except GABA and Succinimides

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14
Q

What should not be taken with any antisz med

A

alcohol

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15
Q

What barituates are used for sz

A

phenobarbitol
primidone

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16
Q

ADE of benzos/barbituates

A

drowsy
decreased HR and BP
DYSPNEA/SLOWED BREATHING

17
Q

BBW for Benzos/Barbituates

A

profound sedation > no breathing >coma >death

18
Q

What benzos work for sz

A

clonazepam
diazepam

19
Q

Succinimides

A

-suximides

20
Q

ADE succinimides

A

CNS depress
Bone Marrow Suppress
SJS

21
Q

What should not be given with Succinimides

A

Primidone, they make primidone not work

22
Q

Gaba Modulators

A

valproic acidA

23
Q

Action of valproic acid

A

decrease normal electricity of brain

24
Q

Indication of GABA mods

A

myoclonic sz

25
Q

Cautions of GABA

A

hepatic/renal impair

26
Q

Contras of GABA

A

allergy

27
Q

ADE of GABA

A

CNS depress
livertoxic
pancreatitis

28
Q

What is a MAJOR GABA Mod ADE

A

DRESS
Drug
Rxn
w/ Eosinophilia
and Systemic
Symptoms

29
Q

Carbamazepine

A

BBW = serious skin rxn

30
Q

Lamotrigine

A

BBW: serious skin rxn

31
Q

Levetriaetam

A

Keppra
BBW: serious skin rxn
can be given to pt w/ liver impairment

32
Q

Topiramate

A

can cause serious skin rxns

33
Q

Indications of Other sz drugs

A

sz

34
Q

Abs contras for all sz meds

A

allergy

35
Q

ADE for all sz meds

A

CNS depressents