NEUROLOGICAL DRUGS Flashcards
Prevents seizures
Drug class ; examples
Anticonvulsants
Diazepam, Phenytoin, Phenobarbital
This medication controls seizures; most common side effect + health teaching
Phenytoin; gingival hyperplasia;
- Good oral hygiene
- Frequent dental visits
- Take medication on schedule
- Avoid alcohol
- Avoid driving e.g
Anticholinergics, Levodopa, Selegiline
Drug class:
Anti-parkinsonian drugs
Most effective drug for symptoms of Parkinson’s disease
Levodopa
True or False
“Dopamine cannot cross blood brain barrier”
True
Edrophonium chloride
Pyridostigmine
Neostigmine bromide
Ambenonium
DRUG CLASS; Treats
Acetylcholinesterase inhibitors
MYASTHENIA GRAVIS
Edrophonium chloride is used for what diagnostic test
Tensilon test
Prevent breakdown of acetylcholine at nerve endings
+ facilitate transmission of impulses across myoneural junction
ACETYLCHOLINESTERASE INHIBITORS
Keep ______ available for overdosage (cholinergic crisis)
Atropine sulfate
Acetylcholinesterase inhibitors is given with ___ to prevent GI upset
This is administered when?
Food; 30 mins to 1 hr BEFORE MEALS
Increase norepinephrine levels at subcortical neuroeffector sites
ANTIDEPRESSANTS
3 type of antidepressant drugs
- Tricyclic Antidepressants (TCA)
- Selective Serotonin Reuptake Inhibitors (SSRI)
- Monoamine Oxidase Inhibitors (MAOI)
Amitriptyline
Nortriptyline
Imipramine
Amoxapine
are what type of drugs?
Tricyclic Antidepressants
Fluoxetine
Paroxetine
Sertraline
Fluvoxamine
are what type of drugs?
Selective Serotonin Reuptake Inhibitors (SSRI)
Tranylcypromine
Isocarboxazid
Phenelzine sulfate
are what type of drugs?
Monoamine Oxidase Inhibitors (MAOI)
_____ caution when taking MAOIs with ingestion of foods high in ____
Hypertensive crisis; TYRAMINE
examples of food rich in tyramine
beer, wine, chocolate, aged cheese, fragmented/frozen foods
Give ___ in the morning, ____ at bedtime
SSRI; TCAs
effect of antidepressant medications may take up to ___ to ___ weeks
2-4
____ & ____ should not be given concurrently or close together
SSRI; MAOIs
Give _____ in case of hypertensive crisis.
Phentolamine
Reduce adrenergic neurotransmitter level in cerebral tissue
ANTI-MANIC AGENTS/ MOOD STABILIZERS
Used for manic phase of mood disorders; bipolar
Mood stabilizers
Lithium carbonate
Carbamazepine
Clonazepam
these are?
Anti-manic agents/ Mood stabilizers
What to monitor on blood levels for a client taking mood stabilizers?
Give the normal range
Lithium; 0.15-1.5 mEq/L
anti-manic agents/ mood stabilizers is taken with
Meals
Effects of anti-manic agents/ mood stabilizers may take
weeks
High intake of ___ and normal ____ for client taking Lithium.
fluids; sodium
Block Dopamine receptors in the CNS and sympathetic nervous system.
ANTI-PSYCHOTICS/NEUROLEPTICS
Chlorpromazine
Thioridazine
Fluphenazine
Haloperidol
are what types of drugs?
TYPICAL
Anti-psychotics/ Neuroleptics
Clozapine
Olanzapine
Quetiapine
Risperidone
Ziprasidone
are what types of drugs?
Anti-psychotic/ Neuroleptics
Anti-psychotic/ Neuroleptic are treatment of psychotic symptoms in
schizophrenia,
psychosis,
Tourette’s syndrome
Extrapyramidal side effects of Anti-psychotic/ Neuroleptics (EPS) are
A-P-A-T
1.
2.
3.
4.
- Acute dystonia
- Pseudo parkinsonism
- Akathisia
- Tardive dyskinesia
Depress CNS
HYPNOTICS/SEDATIVES
Pentobarbital
Phenobarbital
SecobarbitaI
are what type of drugs?
Sedatives
HYPNOTICS/SEDATIVES is used for
Insomnia, sedation
Used for anxiety and sleep disorders
ANTI-ANXIETY/ANXIOLYTICS
Alprazolam
Diazepam
Chlordiazepoxide
are what type of drugs?
Benzodiazepine
An azapirone drug also used to treat anxiety/sleep disorders
BUSPIRONE
ANTI-ANXIETY/ANXIOLYTICS is administered with
FOOD/MILK
What anxiolytics when taken should avoid excessive sunlight?
Librium
Depress the CNS through a progressive sequence
General aesthetics
Cyclopropane
Enflurane
Ether
Nitrous oxide
Inhalation Anesthetics
Thiopental
Methohexital sodium
IV Barbiturates
Midazolam
Ketamine
Propofol
IV & IM Non-barbiturates
3 types of local anesthetics
- Topical
- Spinal
- Nerve block
Benzocaine
Cocaine
Lidocaine
TOPICAL
Dibucaine
Procaine
SPINAL
Bupivacaine
Mepivacaine
NERVE BLOCK
keep the client ___for___hours to prevent spinal headache.
FLAT; 6-12