Antiseizure/Antianxiety/Antiparkinson

Question 1

diazepam Valium
lorazepam Ativan
ACTION

Answer 1

Changes GABA action

Question 2

diazepam Valium
lorazepam Ativan
USE

Answer 2

Short term seizure control

Antianxiety

Question 3

diazepam Valium
lorazepam Ativan
ADVERSE EFFECTS

Answer 3

Drowsiness

Dizziness

Question 4

diazepam Valium
lorazepam Ativan
Nx Implication/Teaching

Answer 4

Tolerance may develop quickly

If OD, give Romazicon

Question 5

phenytoin Dilantin class

Answer 5

Hydantoin

Question 6

phenytoin Dilantin

ACTION

Answer 6

To desensitize sodium channels

Question 7

phenytoin Dilantin

USE

Answer 7

All types of epilepsy except absence seizures

Question 8

phenytoin Dilantin

ADVERSE EFFECTS

Answer 8

CNS depression
Gingival hyperplasia
Skin rash
Cardiac dysrhythmias
Hypotension

Question 9

phenytoin Dilantin

Nx IMPLICATION/TEACHING

Answer 9

Maintain oral hygiene

Question 10

phenobarbital Luminal

CLASS

Answer 10

Barbiturate

Question 11

phenobarbital Luminal

ACTION

Answer 11

Changes the action of GABA

Question 12

phenobarbital Luminal

USE

Answer 12

Controlling seizures

Question 13

phenobarbital Luminal

ADVERSE EFFECTS

Answer 13

Dependence
Drowsiness
Vitamin deficiencies
Laryngospasm

Question 14

phenobarbital Luminal

Nx IMPLICATION/TEACHING

Answer 14

Use reliable form of contraception
Report excessive signs of bleeding
Report drowsiness and bone pain

Question 15

valproic acid Depakene

CLASS

Answer 15

Phenytoin-like

Question 16

valproic acid Depakene

ACTION

Answer 16

Desensitize sodium channels

Question 17

valproic acid Depakene

ADVERSE EFFECTS

Answer 17

Limited CNS depression
Visual disturbances
Ataxia
Vertigo
Headache
GI effects
Hepatotoxicity
Pancreatitis

Question 18

valproic acid Depakene

Nx IMPLICATION/TEACHING

Answer 18

Avoid alcohol, OTC, herbs, nicotine
Avoid driving
Take with food
Rebound seizures if discontinued abruptly

Question 19

levodopa Larodopacarbidopa Sinement

CLASS

Answer 19

Dopaminergic agent

Question 20

levodopa Larodopacarbidopa Sinement

ACTION

Answer 20

Increases biosynthesis of dopamine within nerve terminals

Question 21

levodopa Larodopacarbidopa Sinement

USE

Answer 21

Restore dopamine function
Stimulate dopamine receptors within the brain
Antiparkinson

Question 22

levodopa Larodopacarbidopa Sinement

ADVERSE EFFECTS

Answer 22

Dizziness
Lightheadedness
Fatigue
Sleep dysfunction
N/V
Constipation
Orthostatic hypotension
Dystonia
Dyskinesia

Question 23

levodopa Larodopacarbidopa Sinement

Nx IMPLICATIONS/TEACHING

Answer 23

Increase fiber and fluids
Avoid food and drugs high in pyridoxine
Abruptly stopping may cause Parkinsonism crisis

Question 24

benztropine mesylate Cogentin

CLASS

Answer 24

Anticholinergic

Question 25

benztropine mesylate Cogentin

ACTION

Answer 25

Blocks acetylcholine

Inhibits overactivity in the brain

Question 26

benztropine mesylate Cogentin

USE

Answer 26

Treat early stages of Parkinson’s

Question 27

benztropine mesylate Cogentin

ADVERSE EFFECTS

Answer 27

Dry mouth
Blurred vision
Photophobia
Urinary retention
Constipation
Tachycardia
Glaucoma

Question 28

benztropine mesylate Cogentin

Nx IMPLICATION/TEACHING

Answer 28

Relieve dry mouth with frequent drinks
Take with food to prevent GI upset
Avoid alcohol
Wear dark glasses; avoid bright sunlight
Do not stop taking abruptly