Anticonvulsants

Question 1

phenytoin/Dilantin is called the what in anti-convulsant class?

Answer 1

prototypical drug
its also first-line treatment

Question 2

too absolutely nots for phenytoin

Answer 2

alcohol or other drugs

Question 3

loading dose of phenytoin?

Answer 3

15-20 mg/kg with NS only

Question 4

No faster than this rate _____ in phenytoin or risk these side effects?

Answer 4

50 mg/min
bradycardia, hypotension, cardiac arrest, V-fib.

Question 5

therapeutic levels for phenytoin

Answer 5

10-20 mcg/mL

Question 6

why are the levels so strict for phenytoin?

Answer 6

the drug is highly protein bound, so it travels less efficiently through the blood stream.

Question 7

side effects of phenytoin

Answer 7

dizziness, vision changes, ataxia,
gingival hyperplasia, acne, hirsuitism, rash.

Question 8

a rash means what with phenytoin?

Answer 8

call the HCP, Dilantin rash.

Question 9

which side effect is considered benign?

Answer 9

pink and brown discolored sweat/urine

Question 10

All you need to know about Keppra

Answer 10

suicidal ideation
can’t have alcohol
avoid driving