Anticonvulsant/Antiepileptic Drugs Flashcards

1
Q

Convulsion definition

A

Abnormal & sudden attack of involuntary muscular contractions & relaxations (motor activity)

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2
Q

Seizure definition & 2 examples

A

Abnormal CNS electrical activity

  • neurologic dysf. episodes due to abnormal/excessive synch. Activity of neurons
  • alterations of consciousness & abnormal motor activity
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3
Q

Epilepsy

A
  • group of recurrent CNS disorders w/ paroxysmal cerebral dysarrythmia (seizures, convulsions)
  • at least 2 unprov. Seizures
  • usually accompanied w/ sudden loss of consciousness
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4
Q

Intracranial epilepsy causes

A

Neoplasm, inflammation, hydrocephalus, malformation, trauma

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5
Q

Extracranial epilepsy causes

A
  • hepatic/renal failure
  • hypoxia
  • toxicity
  • hypoglycemia
  • hypocalcemia
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6
Q

Seizures in K9s

A
  • higher incidence in belgian shepherd
  • inherited
  • affects .5-6% dogs
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7
Q

4 types of seizures in vet med

A
  • status epilepticus
  • cluster seizures
  • jacksonian seizures
  • tonic-clonic (grand mal)
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8
Q

Status spilepticus

A
  • lasts >15 mins
  • collection of discrete seizures w/o consciousness
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9
Q

Cluster seizures

A
  • 2 or more seizures in short pd. Of time
  • patient regains consciousness between seizures
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10
Q

Jacksonian seizures

A
  • partial seizure
  • starts in one muscle group->spreads to adjacent groups in same limb-> ipsilateral limb
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11
Q

Tonic-clonic (grand mal) seizures

A
  • violent muscle contractions
  • loss of consciousness
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12
Q

4 reasons to start drug therapy for seizures

A
  • seizures >3 mins
  • see cluster seizures
  • more than 1 per month
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13
Q

What 2 types of drug categories enhance GABA inhibition

A
  • barbiturates
  • benzodiazepines
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14
Q

2 main types of barbiturates

A
  • phenobarbital (luminal)
  • primidone (mysoline)
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15
Q

3 main types of benzodiazepines

A
  • diazepam (valium)
  • clonazepam (klonopin)
  • clorazepate (transxene-SD)
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16
Q

List 6 most commonly used anticonvulsants

A

Phenobarbital, bromide, diazepam, zonisamide, levetiracetam, gabapentin