Exam Neur Flashcards

1
Q

Donepezil choliniterase inhibitor complications

A

GI
upset
muscle
cramps
hallucinations
dysrhythmias
dysuria

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2
Q

Mementine definition

A

Stops nerve damage in the brain

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3
Q

Mementine complications

A

Respiratory distress
depression
hallucinations
headache
constipation

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4
Q

Converts to dopamine in the brain but gets metabolized at a high rate in the blood-brain barrier

A

Levodopa / Carbidopa

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5
Q

Prevents the rapid breakdown of levodopa, which allows less levodopa to be given, thus decreasing potential complications

A

Carbidopa

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6
Q

Complications of levodopa / Carbidopa

A

•GI
•diskenzia - involuntary muscle movements
•dystonia - muscle spasms
•Tachycardia
•hallucinations
•delirium

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7
Q

Pramipexole, Ropinirole, Bromocriptine definition and complications

A

It is a dopamine Agonist
Dyskenzia
hallucinations
delirium
orthostatic hypotension

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8
Q

Amantadine

A

•Dopamine releaser
•Anticholinergic effects

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9
Q

What is phenytoin used for

A

It’s a anticoagulant med

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10
Q

Phenytoin =

A

Phenytoxic
10-20 therapeutic range

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11
Q

Phenytoin and Fosphenytoin complications

A

Gingival hyperplasia

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12
Q

You should avoid giving phenotine with food that has protein true or false

A

True
Give medication 1 hour before or two to three after and decrease the dose with liver failure hypoalbumemia

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13
Q

Phenytoin toxicity adverse effects

A

Rash
suicidal ideation
unstable gate or ataxia
tremors

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14
Q

It is an anticholinergic and is used to treat dyskinesia and dystonia from Parkinson’s medications and EPS symptoms complications anticolonergic effects CNS depression

A

Benztropine

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15
Q

Seizure medication and the CNS depression

A

Hypotension
Bradycardia
Respiratory depression
Increase risk for Falls
Sedation increases seizure threshold can lead to a lowering of the threshold for some types of seizures

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16
Q

Seizure medication can increase

A

Vitamin D and calcium

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17
Q

Bone marrow suppression / blood dyscrasias and seizure meds

A

Anemia
Weakness
Lethargic
Decreases white blood cells
Increases risk for infections
Decreases platelets
Increases risk for bleeding
Steven Johnson syndrome
Avoid pregnancy
Liver failure

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18
Q

Barbiturates

A

○Phenobarbital
○Theopenital

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19
Q

Benzodiazepines ends in

A

-Pams
-Lam’s

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20
Q

What risk does benzodiazepine cause

A

Respiratory depression antidote ○Flumazenil/ Romazicon

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21
Q

What drug is the drug of choice for status epilepticus given for someone actively having a seizure through IV

A

Benzodiazepine

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22
Q

What is the range for phenobarbital and theopenital

A

10-40

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23
Q

What is the range for Phenytoin and Fosphenentoin

A

10 to 20

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24
Q

Range for carbamazepine

A

4-12

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25
Q

Carbamazepine definition

A

Decreased seizure threshold for absence seizures
Less sedating

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26
Q

What is the significant risk for carbamazepine

A

Bone marrow depression and hyponatremia

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27
Q

Ethosuximide range

A

50-100

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28
Q

What is the only use for Ethosuximide

A

Absent seizures

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29
Q

Valproate/Valproic acid range

A

50-100

30
Q

Protein binding medication avoid giving with food that has protein, get medication 1 hour before or 2 to 3 after and decrease the dose with liver failure (hypoalbumemia)
Don’t make Sprinkles with carbonated beverages

A

Valproate / Valproic acid

31
Q

Pregabalin side effects

A

CNS depression
Edema
Weight gain

32
Q

What are the complications that lamotrigine cause

A

CNS depression
Steven Johnson syndrome
Vision changes

33
Q

Pregabalin causes

A

CNS suppression
Weight gain
Edema

34
Q

Complications of this medication cause hyponatremia and bone marrow suppression

A

Oxcarbazepine

35
Q

This medications complications cause CNS depression
Elevated ammonia levels (assess liver function in mental status)
Decrease electrolytes

A

Topiramate

36
Q

Meds for Alzheimers

A

Donepezil
Memantine

37
Q

Parkinson disease medications

A

Levadopa/carbadopa
Pramipexole
Ropinirole
Bromocriptine
Amantadine
Benzotropine

38
Q

Meds for Seizures

A

Phenobarbital
Thiopenital
Phenytoin
Fosphenytoin
Lam or Pam
Carbamazepine
Ethosuxsimide
Valproate / valproic acid
Lamotrigine
Levetiracetam
Gabapentin
Pregabalin
Oxcarbazepine
Topiramate
Lacosemide

39
Q

This drug is used to treat dyskinesia and dystonia from Parkinson’s medications and EPS symptoms complications anticholinergic effects CNS depressant

A

Benztropine

40
Q

Complications of this medication include hyponatremia and bone marrow suppression

A

Oxcarbazepine

41
Q

Days drugs complications are CNS depression, elevated ammonia levels (assess the liver function and mental status) decreased electrolytes

A

Topiramate

42
Q

Lacosamide complications include

A

Euphoria
cardiac complications
orthostatic hypotension
irregular rhythms

43
Q

Mucinaric Agonist medication

A

Bethanechol

44
Q

Bethanichol MOA

A

For non obstructive urinary retention, promotes urination

45
Q

Complications of bethanichol

A

Polyuria
bradycardia
hypotension

46
Q

Is Bethanichol cholinergic or anticholinergic?

A

Cholinergic

47
Q

Mucarinic antagonist Med

A

Oxybutynin

48
Q

Oxybutynin MOA

A

Overactive bladder / bladder spasms

49
Q

What are the complications of oxybutynin

A

Anticholinergic effects
urinary retention

50
Q

Non-depolarizing agents meds

A

-cur-

51
Q

Is the non-dipolarizing agents reversible?

A

Yes

52
Q

Are the depolarizing agents reversible?

A

No

53
Q

Succinylcholine/Sux complications

A

Malignant hyperthermia - treatment is dantrolene

Hyperkalemia - check potassium and kidney function before giving

54
Q

Muscle relaxant drugs

A

Diazepam
Cyclobenzaprine
Baclofen
Metaxalone

55
Q

Complications of muscle relaxants

A

CNS depression
Drowsiness
Dizziness
Hepatic failure (dantrolene)

56
Q

Dystonia, Akathisia (inner restlessness), Tardiness dyskinesia (ticks), are all signs of what

A

EPS

57
Q

Fever, encephalopathy, unstable vitals, elevated enzymes, rigid muscles I

A

Nms

58
Q

Complications of haloperidol

A

CNS depression
EPS
NMS
Anticholinergic
Seizures
Agranulocytosis
Liver and kidney failure
Prolong QT intervals

59
Q

Chlorpromazine complications

A

CNS depression
EPS
NMS
Anticolinergic
Agranulocytosis
Prolong QT intervals

60
Q

A typical antipsychotic drugs

A

Clozapine
Olanzapine
Quetiapine
Aripiprazole

61
Q

Atypical antipsychotic complications

A

EPS
Agranulocytosis
Anticolinergic
Seizures
Prolonged QT intervals
Labile glucose
Hyperlipidemia

62
Q

Selective serotonin reuptake inhibitor medications

A

Serotoline Fluoxetine escitalopram

63
Q

Complications with sertraline fluoxetine and escitalopram

A

Decrease compliance due to sexual dysfunction
Weight gain
Suicide
Hyponatremia
Osteoporosis
Dysrhythmias

64
Q

Serotonin syndrome

A

GI abdominal cramping bloating diarrhea anxiety shivering Tremor hyperflexia tachycardia hypertension manic like symptoms confusion hallucinations spreading fever agitation

65
Q

Tricyclic antidepressants

A

Amitriptyline

66
Q

Amitriptyline complications

A

Anticholinergic
Orthostatic hypotension
Weight gain
Dysrhythmia
Seizures
Suicide

67
Q

Phenelzine
Isocarboxazide
Complications

A

Anticholinergic effects
Liver failure
Hyponatremia
Hypertensive crisis
Stiff neck
Nausea vomiting
Sweating
Sharply elevated blood pressure Occipital headache

68
Q

What to avoid on Phenelzine isocarboxazide

A

Avoid foods with
Tyramine
Caffeine
Age processed foods
Deli meats
Beer cheese and wine

69
Q

Bupropion complications

A

Anticholinergic
Suicidal
Hypertension
Seizures
Anorexia

70
Q

Mirtazapine complications

A

Sedation
Orthostatic hypotension
Wash out period for MAOI’s and SSRI’s

71
Q

Complications for Trazodone

A

Sedation
Orthostatic hypotension
Sexual dysfunction

72
Q

DDI for Trazodone

A

Delanton and digoxin increase level