week 9 pharm Flashcards

1
Q

what does mannitol do and how does it treat siezures

A

it pulls fluid out of the brain which reduces ICP

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2
Q

how can you tell if mannitol is working

A

if GCS/LOC is improving

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3
Q

what is Dilantin and what does it do

A

it delays sodium from coming active which inhibits neurons from firing

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4
Q

what lab value is important to check before giving dilantin

A

check albumin because it binds to proteins

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5
Q

what are signs of dilantin toxicity

A

nystagmus
ataxia
drowsiness
diplopia
cognitive imprimente

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6
Q

what drug should you never mix with dilantin

A

dextrose

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7
Q

how does lorazepam help seizures

A

its a rescue med that potentiates gaba, seizure stops quickly

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8
Q

whats the antedote for lorazepam

A

flumazenil

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9
Q

what are important monitoring parameters for lorazepam

A

may cause resp depression so check airway before admin

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10
Q

what is phenobarbital and what does it do

A

it does all levels of CNS depression

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11
Q

which drug for seizures is given to babies

A

phenobarbital

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12
Q

what is nystagmus

A

eye shaking

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13
Q

whats diplopia

A

double vision

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14
Q

why would dilantin cause bradycardia

A

in delays sodium so it stops heart from contracting

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15
Q

what are some important thing about carbamazepine

A

may cause bone marrow suppression
increases ADH
grapefruit juice can cause toxicity

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16
Q

what are important things about valproic acid

A

it has all the GI side effects, take with food

17
Q

whats important about gabapentin

A

supportive role
old ppl more likely to have side effects

18
Q

what’s important about levetiracetam

A

adjunct
doesn’t affect CNS as much, higher risk for renal injury

19
Q

whats important about topiramate

A

makes ppl lose wight
worst for suicidal ideation
decreases sweating, may cause hyperthermia

20
Q

why do we need to check drug levels of antiepilectics

A

could easily be toxic

21
Q

what happens if you discontinue seizure meds abruptly

A

neurons get all out of whack and get a rebound effect

22
Q

what is an important thing to know prior to given dilantin

A

albumin levels