Seizures and Epilepsy

Question 1

side effects of carbamazepine

Answer 1

SiADH, arrhythmia

Question 2

side effects of phenytoin

Answer 2

gingival hyperplasia, arrhythmia, reduced bone density

Question 3

side effects of topiramate

Answer 3

weight loss, kidney stones

Question 4

side effects of valproic acid

Answer 4

teratogenic, weight gain

Question 5

side effects of zonisamide

Answer 5

renal calculi, weight loss

Question 6

definition of status epilepticus

Answer 6

> 5 mins of continuous seizure OR

>2 discrete seizures without complete consciousness in between

Question 7

initial steps when witnessing a seizure

Answer 7

ABCs + D- dextrose, always check a sugar

Question 8

first medication in status epilepticus

Answer 8

lorazepam 2-4 mg per minute x 2 OR midazolam 10 mg IM

Question 9

additional meds in status epilepticus

Answer 9

phenytoin or fosphenytoin infusion, then midazolam or propofol infusion, then pentobarbital infusion. Can also do valproic acid infusion, phenobarbital, or levitaracetam