Neuro Meds

Front 1

Labs needed:

Back 1

-Glucose
-Phenytoin levels
-ABGs
-Electrolytes
-H&H
-INR
-PT
-PTT
-Drug screen

Front 2

Diagnostics needed:

Back 2

-CT scan
-MRI
-Cerebral Angiogram

Front 3

Mannitol

Back 3

-increases osmotic pressure
-Osmotic diuretic
-"Lasix of the brain"
-Monitor K & Na for decrease
-SE: urine retention
-Used to decrease ICP

Front 4

Alteplase (tPA)

Back 4

-Thrombolytic "clot buster"
-Increases cerebral perfusion
-Used if stroke occured < 3 hours
-Monitor for bleeding

Front 5

Nimodipine (Nimotop)

Back 5

-CCB
-Tx vasospasm
-Tx subarachnoid bleeding
-Monitor: HF, decrease liver function, HR, EKG, LOC before/after admin
-*HOLD if apical pulse < 50
-*HOLD if sys BP > 90

Front 6

Statins (Zocor & Lipitor)

Back 6

-Lipid lowering agent
-SE: constipation, increased liver enzymes, muscle tenderness, CK levels (creatine kinase)

Front 7

Antiplatelet agents
(Aspirin, Plavix, Aggrenox)

Back 7

-Plavix: watch for bleeding, careful w/ falls
-Aspirin: GI distress
-Aggrenox: hypotension, HA, nausea, dizziness, bronchospasm

Front 8

Anticoagulants
(Heparin/Lovenox, Warfarin/Coumadin)

Back 8

- #1 for A-Fib tx
-Assess for bleeding
-Monitor: INR, PT, PTT

Front 9

Decadron

Back 9

-Antiparkinson
-Corticosteroid
-Give 1st for ICP/cerebral edema
-SE: blurred vision

Front 10

Levodopa (L-dopa)

Back 10

-Antiparkinson
-Dopamine agonist
-Vit B6 interferes w/ action
-SE: involuntary movement, N/V
-Monitor: liver enzymes, BUN, LDH

Front 11

Sinemet

Back 11

-Antiparkinson
-Dopamine agonist
-LDopa + carbidopa
-Carbidopa inhibits enzyme that breaks down levodopa
-Interferes w/ protein (take 30 min prior to meals)
-SE: involuntary movement, N/V
-Monitor: BUN increase, LDH, liver enzymes

Front 12

Parlodel

Back 12

-Antiparkinson
-Dopamine agonist
-SE: dizziness, MI & hypotension

Front 13

Requip

Back 13

-Antiparkinson
-Dopamine agonist
-SE: SLEEP ATTACK, dizziness, syncope (fainting), dykinesia, ortho hypotension

Front 14

Cogentin

Back 14

-Antiparkinson
-Anticholinergic
-SE: blurred vision, dry eyes, constipation, dry mouth, urinary retention

Front 15

Symmetrel

Back 15

-Antiparkinson
-Antiviral
-SE: ataxia, insomnia, dizziness, hypotension, HF, urine retention
-Monitor: HR, I/O

Front 16

Phenytoin (Dilantin)

Back 16

-Anticonvulsant
-SE: rash, hyperplasia, nystagmus, nausea, hypotension, ataxia
-Monitor: CBC, Ca, albumin & liver function
-*NO IV PUSH*
-IV rate not > 25-30mg/min

Front 17

Cerebyx

Back 17

-Anticonvulsant
-Give if NPO
-SE: dizziness, drowsy, pruritis, ataxia & nystagmus
-Monitor: BP, EKG, resp during admin & 15-30 after admin

Front 18

Valium

Back 18

-Anticonvulsant
-Benzodiasapine (sedative & muscle relaxer)
-SE: dizziness, drowsiness, lethargy, increased risk for falls

Front 19

Ativan

Back 19

-Anticonvulsant
-Benzodiasapine
-SE: dizziness, drowsiness, lethargy, apnea, cardiac arrest (rapid IV)
-Monitor: EEG continuosly
-*MUST DILUTE*

Front 20

Depakote & Valproic Acid
(Dose & SE same for both)

Back 20

-Anticonvulsant
-Valproates
-SE: N/V, GI disturbances, agitation, dizziness, insomnia, sedation, abd pain, visual problems, anorexia, diarrhea, tremor, indigestion, hepatoxicity
-Monitor: liver enzymes

Front 21

Phenobarbitol

Back 21

-Anticonvulsant
-Barbituate
-SE: RARE but resp depression, hypotension, HA

Front 22

Neurontin

Back 22

-Anticonvulsant
-Mood stabilizer, analgesic adjunct
-SE: SUICIDAL thoughts, confusion, depression, drowsiness, ataxia, hyperkinesias

Front 23

Keppra

Back 23

-Anticonvulsant
-SE: dizziness, weakness
-Monitor: may decrease RBC & WBCs, abnormal liver fxn test
-*DILUTE w/ 100ml
-*RATE: single dose over 15 min

Front 24

Pepcid

Back 24

-Antiulcer agent
-SE: confusion
-Monitor: CBC

Front 25

Reglan (metoclopramide)

Back 25

-Antiemetic
-SE: extrapyramidal reactions, drowsiness, restlessness

Front 26

Zofran

Back 26

-Antiemetic
-SE: HA, constipation, diarrhea

Front 27

2 lipid-lowering agents

Back 27

-Zocor

-Lipitor

Front 28

3 Antiplatelet agents

Back 28

-Aspirin (ASA)
-Plavix
-Aggrenox

Front 29

2 Anticoagulants

Back 29

-Heparin (Lovenox)

-Warfarin (Coumadin)

Front 30

7 Antiparkinson drugs

Back 30

-Levodopa
-Sinemet (L-dopa + carbidopa)
-Parlodel
-Requip
-Cogentin
-Symmetrel (antiviral)
-Decadron (#1 for ICP)

Front 31

9 Anticonvulsant drugs

Back 31

-Phenytoin (Dilantin)
-Cerebyx (give if NPO)
-Diazepam (Valium)
-Lorazepam (Ativan)
-Depakote
-Valproic acid
-Phenobarbitol
-Neurotin
-Keppra