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49 Cards in this Set
- Front
- Back
3 types of partial seizures
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simple and complex partial and 2nd generalized seizure
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describe simple partial and duration
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small focal- twitching thub, no LOC, and 20-60 seconds
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describe complex
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impaired LOC, 1st motionless and 2nd- automatism- purpuseless movements- 45 -90 sec
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describe grand mal
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tonic-clonic, urination, cry, and postictal state afterwords (CNS depression) 90
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describe absence
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petit mal- LOC staring, 10-30
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how long to qualify for status epilepticus and dangerous type
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30 min and generalized convulsive
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4 ways AEDs work
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supress Na and Ca, (reducing AP) GABA potentiation, andantag glutamate
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use pheytoin for what
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grand mal and partial(better stuff for these) but not absence
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use ethosuximide for
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absence but not grand mal or partial
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use valproic acid for
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all types of seizures
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how is determining dosage for absence different?
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use journaling and behaviour bc they happen so frequently like 100 times a day
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how to stop AEDs
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slowly 6 wks to several months
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therapeutic blood levels for phenytoin and other name
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dilantin, 10-20 narrow range
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adverse for pheyntoin
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nystagmus, diplopia, sedation (esp, ETOH), ataxia, gum swelling, preg-vit k, iv-hypo and dysrhythmia
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other name for tegerol
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carbamazepine
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tegerol useful for
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partial and grand mal not absense
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compare tegerol to pheyntoin
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tegerol has less side effects, less cognitive effects
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adverse for tegerol
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visual disturbances and ataxia but improves with time, leukopenia, anemia, and thrombocyto
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s x s of hematologic effects of tegerol and wbc for leukopenia and prevention
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3000, fever sore throat pallor infection petechiae bruising
blood counts before and after |
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which antiseizure is addictive
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pheynlbarb
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how to minimize reaction to phenytoin IV
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go slowly
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another name for valproic acid
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depakote
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depakote used for
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all seizures, bipolar, migraines
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adverse effect of depakote
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pancreatitous and hepatotoxity
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which antiseizure is addictive
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pheynlbarb
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how to minimize reaction to phenytoin IV
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go slowly
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another name for valproic acid
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depakote
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depakote used for
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all seizures, bipolar, migraines
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adverse effect of depakote
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pancreatitous and hepatotoxity, increased ammonia, birth defects
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signs of a liver problem
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reduced appitette, N, lethargy, ab pain, jaundice
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drug used for absence seizures - 2 names
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ethosuximide and zarontin
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how does Phenobarb work?
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intensify GABA
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what class is phenobarn in?
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anticonvolsant barbituites
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pheno used for
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all seizures axcept absent
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pheno adverse
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Can cause nystagmus and ataxia in excessive doses.
sedation |
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which drugs can decrease Vit K clotting factors?and with pregnant women?
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Phenobarbital, phenytoin, carbamazepine and primidone
Pregnant women should have K supplement, 10 mg/daily and baby 1mg at birth |
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carbamazepine interactions
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warfarin and Oral Contra
phenytoin and phenobarb grapefruits- increase levels |
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what should women do with deprkote?
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increase folic acid 5mg daily
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only drug used for local muscle spasms
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dantrolene
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pheno adverse
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Can cause nystagmus and ataxia in excessive doses.
sedation |
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which drugs can decrease Vit K clotting factors?and with pregnant women?
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Phenobarbital, phenytoin, carbamazepine and primidone
Pregnant women should have K supplement, 10 mg/daily and baby 1mg at birth |
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carbamazepine interactions
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warfarin and Oral Contra
phenytoin and phenobarb grapefruits- increase levels |
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what should women do with deprkote?
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increase folic acid 5mg daily
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only drug used for local muscle spasms not in CNS
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dantrolene
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abrupt withdrawl from baclofen can cause
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hallucinations, seizure and paranoia
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adverse of dantrolene
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cns depression, hepatic toxic- women over 35, muscle weakness
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how does dantrolene work?
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suppresses release of Ca++
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uses of dantrolene?
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spasticity and malignant hyperthermia
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generic of baclofen
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lioresal
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