Seizure and Seizure Drugs Flashcards
partial seizure
affects one part of brain (gen. temporal)
simple seizure
pt. maintains conciousness
generalized seizure
spreads to affect more than one part of brain
complex seizure
pt loses conciousness
staring, quivering of lips or smacking lips
absence (petit-mal) generalized seizure
twitching seizure
Myoclonic, generalized
muscles get stiff, then starts twitching
Tonic-clonic (grand-mal)
gets stiff only
tonic
loses muscle tone and just falls to floor
atonic
What is status epilepticus (2)
- complex seizure lasting more than 5 mins OR
2. multiple seizures w/o regaining conciousness in between
tx for status epilepticus
IV lorazepam (or diazepam)
DOC for absence seizures
ethosuxamide
- 7 side effects of phenytoin
- gingival hyperplasia
- hirsutism
- fetal hyantoin syndrome (cleft lip and palate, heart defects, mental retardation)
- megaloblastic anemia
- peripheral neuropathies
- drug-induced lupus
- Stevens-johnson syndrome
5 anti-convulsants that cause stevens-johnson (and 3 other that do too)
- ethosuxamide
- lamotrigine
- carbamazepine
- phenytoin
- phenobarbitol
- Sulfonamides
- penicillins
- allopurinol
3 drugs used to treat tonic-clonic (grand mal) seizures
- valproic acid (supposed to be best for generalized)
- carbamazepine
- phenytoin