Anticonvulsants Flashcards
0
Q
generalized seizures
A
affect consciousness
- tonic-clonic(TC) seizures- jerking, shaking (stereotypical seizure)
- absence seizures (a.k.a petit mal)- 30 seconds or less, stop mid-action
1
Q
2 types of seizures
A
generalized seizures
partial seizures
2
Q
petit mal
A
absence seizure
3
Q
partial seizures
A
- a.k.a. focal seizures
- may or may not affect consciousness (usually do NOT)
- localized; affect a specific area
4
Q
pt. counseling for anticonvulsants
A
- NEVER stop anticonvulsants suddenly–ALWAYS TAPER: status epilepticus may occur
- may cause somnelence
5
Q
classes of anticonvulsants
A
barbiturates
succinimides
sulfonamides
hydantoins
6
Q
barbiturates
A
-decrease effectiveness of hormonal contraceptives
phenobarbital
Mysoline
Mebaral
7
Q
phenobarbital
A
-barbiturate
8
Q
Mysoline
A
primidone
- barbiturate
- ind. for partial and TC
- metabolized to phenobarbital
9
Q
Mebaral
A
mephobarbital
- barbiturate
- ind. for TC and absence
- metabolized to phenobarbital
10
Q
succinimides
A
-ind. for absence
Zarontin
methsuximide
11
Q
Zarontin
A
ethosuximide
- succinimide
- ind. for absence
12
Q
methsuximide
A
- succinimide
- ind. for absence
13
Q
sulfonamides
A
-ind. for partial
-contraindicated in pts. allergic to sulfa drugs
Zonegran
14
Q
Zonegran
A
zonisamide
-sulfonamide
15
Q
hydantoins
A
Dilantin
Peganone
Cerebyx
16
Q
hydantion counseling
A
- decrease effectiveness of hormonal contraceptives
- need to have good dental care (brush AND floss)- may cause gingival hyperplasia
- chronic alcohol intake may lower the level of drug in the body causing susceptibility to seizures