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30 Cards in this Set

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what is the MC type of generalized seizure?
myoclonic + tonic-clonic
this type of seizure begins in one hemisphere of the brain and can be called simple, complex and secondarily generalized
PARTIAL seizures
this type of seizure begins in both hemispheres of the brain: can be called absence, myoclonic, tonic-clonic, tonic, clonic and atonic
GENERALIZED
what type of seizure has no LOC, symptoms are motor, autonomic or sensory?
SIMPLE partial
what type of seizure has LOC and the prodrome begins with AURA: lasts seconds to minutes?
COMPLEX partial
which seizure begins as a partial seizure, but spreads to involve both hemispheres?
SECONDARILY generalized
which seizure is usually seen in children, is brief and abrupt, occurs in clusters and is generally < 30 seconds?
absence seizure
a brief, lightning-like jerking movements of the whole body or the upper extremeties (that esty says usually involves the whole body)
myoclonic
a five phase seizure is known as?
tonic-clonic:
Flexion
Extension
Tremor
Clonic
Postictal
generalized seizures that last more than 20 minutes or recurrent seizures where patient does not regain consciousness?
status epilepticus
what tools will you use to diagnose a seizure?
PE- neurological findings
Lab Tests
EEG
CCT
MRI or CT
if you inhibit GABA what is the consequence ?
INCREASE excitability. may be a key feature of the chronic epileptic state
what are some other indications for usage of AED's?
psyche disorders
neuropathic pain
peripheral vascular disease
what is the treatement/reversal for phenobarb/barbituate overdose?
give sodium bicarb to urinate out the drug. then fluids. intubate if necessary (usually yes due to repiratory depression)
what is the major circulating protein in our blood?
albumin
what is the best albumin test to take and why?
pre-albumin: it is a 3 day summary
what should you do if p has low albumin?
increase protein intake
what AED should you use for a patient with a first time seizure???
Phenytoin(dilantin)
what labs need to be monitored if p is on carbamazepine (tegretol) or phenobarb?
Na+ (due to effects of drug on Na channels and that it can cause SIADH)
cbc (due to se: aplastic anemia
what is the DOC for tonic-clonic events?
valproic acid: due to potentiation on GABA
what AED is used mainly on bi-polar patients?
valproic acid
what labs do you need to monitor for p on valproic acid?
ALT/AST
what is the only 2nd gen AED that is NOT metabolized by the liver?
GABAPENTIN
what is the max dose of gabapentin?
3600mg
what benzo's are used for acute processes?
diazepam and lorazepam
what should you use for status epilepticus in children?
rectal diazepam/valium
which benzo is used most as an add-on therapy to depakote or carbamezapine?
clonazepam (Clonapin)
what is the drug of choice for anxiety?
BZD's
what is the one drug used for GAD's that is not addictive?
Buspar: non-benzo. works on GABA
what is BC of choice for p c H/O DVT, HTN, breast feeding and smokers?
progestin only pills