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
Cautions of GABA
hepatic/renal impair
26
Contras of GABA
allergy
27
ADE of GABA
CNS depress livertoxic pancreatitis
28
What is a MAJOR GABA Mod ADE
DRESS Drug Rxn w/ Eosinophilia and Systemic Symptoms
29
Carbamazepine
BBW = serious skin rxn
30
Lamotrigine
BBW: serious skin rxn
31
Levetriaetam
Keppra BBW: serious skin rxn can be given to pt w/ liver impairment
32
Topiramate
can cause serious skin rxns
33
Indications of Other sz drugs
sz
34
Abs contras for all sz meds
allergy
35
ADE for all sz meds
CNS depressents