Neuro Meds

Question 1

Anticonvulsant names

Answer 1

Phenytoin
Levetiracetam

Question 2

Phenytoin usage, therapeutic range, toxic side effects

Answer 2

-for epilepsy
-stay within 10-20
-toxic signs: ataxia, suicidal thought, hand tremors, slurred speech, new painful skin rash (steven johnson syndrome)

Question 3

Phenytoin expected side effects, things to know when taking

Answer 3

-bradycardia, hypotension, gingival hyperplasia
-no oral contraceptives
-dont stop abruptly, take folic acid
-stop tube feeding 1-2 hours before and after meds

Question 4

Levetiraxetam usage, side effects

Answer 4

-prevent seizure
-cns depressant, low and slow
-report side effects: steven johnson syndrome, new depression, mood changes, new anxiety, muscle and joint pain

Question 5

Cholinergics function and names

Answer 5

-increases secretions
-for clients with Malignant graves who lacks mobility and dry body
-neostigmine
-paridiostigmine

Question 7

Cholinergic adverse effects to report

Answer 7

-cholinergic crisis (tsunami of secretions)
-increase tears,saliva,sweating,nausea,vomiting,diarrhea

Question 8

Cholinergic antidote

Answer 8

-anti-cholinergic

Question 9

Anticholinergic function and name

Answer 9

-drys body
-tropine, atropine
-“can’t pee with atropine”
-antidote of cholinergic crisis
-can treat Parkinson’s to decrease muscle rigidity and shuffling
-don’t give to clients that are already dry (bph,urinary retention,glaucoma)

Question 12

Migraine meds,function, contraindication

Answer 12

-sumatripton
-vasoconstricts blood vessels
-avoid givinf to patient with CAD, uncontrolled HYN, angina, MI, history of heart attack

Question 13

Neuro Blocking drug and function

Answer 13

-succinylcholine
-paralysis, give right before intubation, causes muscle relaxation
-need to give sedative, doesn’t cause loss of consciousness

Question 14

Succinylcholine adverse effect, antidote

Answer 14

-Can cause malignant hyperthermia (MH)
-MH: muscle rigidity, very hot
-need to screen patients to GA, blood relative with reaction to anesthesia
-antidote: dantrolene

Question 15

Parkinsons meds function and names, side effects

Answer 15

-parkinsons have low dopamine
-carbadopa, levadopa
-carbadopa: conserves dopaminee
-levadopa: leaves dopamine inside body
-red brown urine, sweat,saliva are expected
-no high protein meals
-decreases tremors and rigidity, not cures