Exam Neur Flashcards
Donepezil choliniterase inhibitor complications
GI
upset
muscle
cramps
hallucinations
dysrhythmias
dysuria
Mementine definition
Stops nerve damage in the brain
Mementine complications
Respiratory distress
depression
hallucinations
headache
constipation
Converts to dopamine in the brain but gets metabolized at a high rate in the blood-brain barrier
Levodopa / Carbidopa
Prevents the rapid breakdown of levodopa, which allows less levodopa to be given, thus decreasing potential complications
Carbidopa
Complications of levodopa / Carbidopa
•GI
•diskenzia - involuntary muscle movements
•dystonia - muscle spasms
•Tachycardia
•hallucinations
•delirium
Pramipexole, Ropinirole, Bromocriptine definition and complications
It is a dopamine Agonist
Dyskenzia
hallucinations
delirium
orthostatic hypotension
Amantadine
•Dopamine releaser
•Anticholinergic effects
What is phenytoin used for
It’s a anticoagulant med
Phenytoin =
Phenytoxic
10-20 therapeutic range
Phenytoin and Fosphenytoin complications
Gingival hyperplasia
You should avoid giving phenotine with food that has protein true or false
True
Give medication 1 hour before or two to three after and decrease the dose with liver failure hypoalbumemia
Phenytoin toxicity adverse effects
Rash
suicidal ideation
unstable gate or ataxia
tremors
It is an anticholinergic and is used to treat dyskinesia and dystonia from Parkinson’s medications and EPS symptoms complications anticolonergic effects CNS depression
Benztropine
Seizure medication and the CNS depression
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
Seizure medication can increase
Vitamin D and calcium
Bone marrow suppression / blood dyscrasias and seizure meds
Anemia
Weakness
Lethargic
Decreases white blood cells
Increases risk for infections
Decreases platelets
Increases risk for bleeding
Steven Johnson syndrome
Avoid pregnancy
Liver failure
Barbiturates
○Phenobarbital
○Theopenital
Benzodiazepines ends in
-Pams
-Lam’s
What risk does benzodiazepine cause
Respiratory depression antidote ○Flumazenil/ Romazicon
What drug is the drug of choice for status epilepticus given for someone actively having a seizure through IV
Benzodiazepine
What is the range for phenobarbital and theopenital
10-40
What is the range for Phenytoin and Fosphenentoin
10 to 20
Range for carbamazepine
4-12
Carbamazepine definition
Decreased seizure threshold for absence seizures
Less sedating
What is the significant risk for carbamazepine
Bone marrow depression and hyponatremia
Ethosuximide range
50-100
What is the only use for Ethosuximide
Absent seizures