Exam 2 - Drugs

Question 1

abortive migraine

Answer 1

Triptan

Question 2

prophylactic migraine

Answer 2

Topamax

Question 3

Tonic-Clonic & partial sz

Answer 3

Phenytoin (Dilantin) *
SE: gingival hyperplasia
carbamazepine (Tegretol)

Question 4

Status Epilepticus

Answer 4

Diazepam (Valium)

Question 5

Parkinsons

Answer 5

carbidopa/levodopa (Sinemet)

Monitor for dyskinesia

Question 6

Alzheimers

Answer 6

Donepezil (Aricept) *
rivastigmine (Exelon)
glantamine (Razadyne)

Question 7

Severe delirium

Answer 7

**KNOW ALL
Haldol (Vit. H)
Risperidone (Risperdol)
Olanzapine (Zyprexa)
Quetiapine (Seroquel)
Short-acting benzo (for alcohol withd.) -- Ativan (caution! can worsen delirium if caused by other factors)

Question 8

Trigeminal Neuralgia

Answer 8

carbamazepine (Tegretol) *

oxcarbazepine (Trileptal) *

Question 9

Bell’s Palsy

Answer 9

corticosteroids

ALWAYS taper off, do not stop abruptly

Question 10

SIADH

Answer 10

declomycin

blocks effects of ADH, allowing more dilute urine

Question 11

Diabetes Insipidus

Answer 11

ADH replacement
desmopressin (DDVAP)
vasopressin

Question 12

Hyperthyroidism

Answer 12

antithyroid drugs-
propylthiouracil (PTU)
methimazole (Tapazole)

Question 13

Hypothyroidism

Answer 13

lifelong thyroid replacement such as levothyroxine
SE: increase effects of anticoagulants & digitalis
Adverse: may increase myocardial O2 demand –> angina, cardiac dysrhythmias
basline apical HR & BP; report any chest pain/nervousness

Question 14

Cushing syndrome

Answer 14

Corticosteroid therapy
Do not abruptly stop!!
Antiinflammatory
Monitor for hyperglycemia - steroids increase hepatic production of insulin and cortisol-induced resistance to insulin
SE: infections (lowers threshold), mood swings, osteoporosis, elevated glucose, GI upset