week 9 pharm Flashcards
what does mannitol do and how does it treat siezures
it pulls fluid out of the brain which reduces ICP
how can you tell if mannitol is working
if GCS/LOC is improving
what is Dilantin and what does it do
it delays sodium from coming active which inhibits neurons from firing
what lab value is important to check before giving dilantin
check albumin because it binds to proteins
what are signs of dilantin toxicity
nystagmus
ataxia
drowsiness
diplopia
cognitive imprimente
what drug should you never mix with dilantin
dextrose
how does lorazepam help seizures
its a rescue med that potentiates gaba, seizure stops quickly
whats the antedote for lorazepam
flumazenil
what are important monitoring parameters for lorazepam
may cause resp depression so check airway before admin
what is phenobarbital and what does it do
it does all levels of CNS depression
which drug for seizures is given to babies
phenobarbital
what is nystagmus
eye shaking
whats diplopia
double vision
why would dilantin cause bradycardia
in delays sodium so it stops heart from contracting
what are some important thing about carbamazepine
may cause bone marrow suppression
increases ADH
grapefruit juice can cause toxicity