Neuro and Anesthetics Flashcards
What is a seizure?
hyper excited neurons called a focus
how many sides of the brain is a focal onset seizure?
on hemisphere
Generalized onset seizures use what sides of the brain?
both sides
Goal of seizure tx?
allow pt to live a near normal or normal life
All seizure meds carry a risk of causing what?
suicide
Phenytoin Loading Dose?
15mg/kg
Mx dose of Phenytonin
300-400mg qd
Phenytoin is the drug of choice for what?
Emergencies, status epilepticus
Do not use Phenytoin if pat has what?
2nd or 3rd heart block, bradycardia or SA block
What people may have tog et genetic testing because of mutation before using Phytnoin?
Asian
Carbamazepine is also called what?
Tegretol
What is Tegterol used for besides seizures?
Bi Polar, and trigeminal neuralgia
What lab do you what to get a baseline of when giving Tegretol?
CBC
What is a common side effect of Tegretol?
Tinnitus
What should patients not drink when taking Tegretol?
Grapefruit Juice
Valporate is also called what?
Depakote
Depakote dose?
500mg-1g daily
Do not give Depakote if someone has what?
liver condition
What is a black box warning for Depakote?
Hepatotoxicity
If patient is taking Depokote and Topiramate what should you assess for?
Hyperammonemia
Oxycarbazepine daily dose?
300mg-600mg
MOA of ocyarbazepine?
Blocks sodium channels
Keppra Dose?
500mg BID
What is the off label use for Keppra?
TBI, subarachnoid hemorrhage, and status epileptics
What is a rare adverse effect Keppra can cause?
Neuropsychiatric sx