Disease = Tx Flashcards
Huntington Dz
Nothing - fatal 15-20 yrs
- Chorea = dopa blocker
- Cognitivive = AchE inhibitors
Essential Familial Tremor
Propranolol
*behavioral mods (caffeine, assistve devices)
Parkinson’s Dz
- Levodopa/Cardidopa
- DOPA AGS = (Pramiprexole, Bromocriptine
- ANTICHOL = (Trihexyphenidyl, Benztropine)
- Amantadine
- MAOb BLOCKER = (Selegiline, Rasagiline)
Tourette’s Syndrome
- CBT
- Dopa Blocker = (Haloperidol, Risperidone)
- Clonazepam
ALS
Riluzole
Cerebral Palsy
Diazepam/Baclofen
SEIZURES = Anti-epileptics
Restless Leg Syndrome
- 1st DOPA AGS = (Pramiprexole, Ropinirole)
- Levodopa, Gabapentin
- benzos/opiates
- IRON supplements
Guillan Barre
*Plasmapheresis
*IVIG
*Prednisone
+/- mechanical ventilation
Myesthenia Gravis
- AchE BLOCKERS = (Pyrostigmine/Mestinon) + PREDNISONE
- ACUTE = IMMUNOSUPPRESSION Rx (cancer risk), Plasmapheresis, IVIG,
- THYMECTOMY
Multiple Sclerosis
Acute + Relapse/remitt/progressive
- *Acute**
- IV corticosteroids
- IF NO BETTER THEN: Plasmpheresis
- *RELAPSE/REMIT, PROGRESSIVE DZ**
- Immunomodulating Rxs
- B - Interferon
- Natalizumab - (JC Virus -> PML!!!)
Bell’s Palsy
- Prednisone (w/in 72 hrs onset)
- Acyclovir
- artificial tears/patch/pain control
Tension HA
- NSAID/Aspirin/Aceta
- Combos w/ Caffeine
- Heat/warm bath
- TCAs (Amitriptyline)
Migraine HA
- *S/s**
- *Triptans (BEST)
- *Ergtamines (5HT1ags)
::EXTRA::
Dopa blockers = Metoclopramide
Long-term
Anti HTN = B-blocker, CCB
Anticonvulsant
Trigeminal Neuralgiia
Carbamazepine
gabapentin
Glycerol injection
Cluster HA
ACUTE = 100% O2
*Triptan/ergot/opiate
PROPHYLAXIS = Verapamil
Idiopathic Intracranial HTN
Acetazolamide
Normal Pressure Hydrocephalic
Ventriculoperitoneal shunt
*shunt revisions w/ time
Concussion
Rest
Alzheimer’s
- MILD : Donepezil, Galantamine, Rivastigmine = AchE BLOCKER
- SEVERE : Memantine = NMDA BLOCKER
Benign Meningioma
NO SURGERY (watch + wait)
NML
- Discontinue Rx
- dopa ags
- Muscle relax = Dantrolene
Serotonin Syndrome
- Discontinue Rx
- Hyperthermia = Benzo
- LAST RESORT = Serotonin blockers
Ischemic Stroke
*rT-Pa w/in 3-4.5 hrs 3-4.5 hour no elderly *lower BP *Dysphagia *Aspirin, long-term anticoag = DVT/PE/Future stroke
Intraparanchymal Hemorrhage
- Hemostasis
- BP Management
- Seizure prophylaxis
- Surgery = (hydrocephalus, compression, herniation)
Aneurysmal SubArach Hemorrhage
- early prevention of bleed
* Clipping/Coiling aneurysm
Bacterial Meningitis
IV Vanc + Ceftriaxone
- elderly? –> +Ampicillin (listeria)
- NO steroids in USA
Fungal Meningitis
- IV antifungal (monitor Hepatic)
- ICP? Shunt
- Fluconazole (life-time)
Creutzfeldt-Jakob dz
Nothing
*Hugs
Subarachnoid Hemorrhage
- Neurosurgery = decompression
* Watch ICP = anti-emetics, Anti-HTN
AVM
Excision
Cauterization
Aneurysm
Clipping
Coiling (only if neck)
Dystonia
- Chemodenervation
* Rx = Dopaminergic, Dopa depleting Antichol
Tardive Dstkinesia
STOP Rx
Peripheral Sensory Neuropathy PSN
- Gabapentin = (ANTI-CONVULSANT)
- TCA/SNRI = (ADD)
- Tramadol = (WEAK MU OPIOID)
- Lidocaine patches
- alpha lipoic acid
- healthy lifestyle
Carpal Tunnel Syndrome
Night splint
NSAID
Surgery
PT
Herpes Zoster
Tx w/in (time)
72 hours
Post-Herpetic Neuralgia
*Gabapentin
ANTICONVULSANTS
*ADD
PT Goals
Recover vs. Compensation
Prevention
Vascular Dementia
- Memantine = (AchE Blocker)
* PT/OT
Frontotemporal dementia
- SSRI - (decrease disinhibition)
* Olanzapine - ATYTPICAL ANTI-PSYC
Epilepsy
- Phenytoin, Vaproate, Carbamazepine - ANTI-SEIZURE
- Epilepsy Surgery
- Neuromodulation = Vagal N stimulation, Responsive Neurostim
- Diet = Keto, atkins
Most Seizures
Phenytoin
Valproate
Carbamazepine
Generalized, Non-Convulsive Seizures
Ethosuximide
Valproate
Status Epilepticus
- airway
- Lorazepam
- iF NO : Phenytoin
- IF NO: Phenobarbetal + general anesth
- if need = glucose
- if alcoholic = thiamine + magn
Syncope
- Underlying cause
- Glucose + Hydration
- Rx Dose decrease