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16 Cards in this Set
- Front
- Back
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Dilantin
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use with: tonic-clonic seizures
side effects: increased neuro signs |
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Cegretol
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use with: partial seizures
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Depakote
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use with: tonic-clonic seizures
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Lamotrigine
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use with: partial and general, tonic-clonic
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Neurontin
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use with: partial seizures, spasticity
mechanism of action not completely known |
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Dantrium
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used for: spasticity
side effects: muscle weakness, drowsiness |
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Baclofen
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used for: spasticity
side effects: drowsiness, abrupt withdrawal can cause seizures |
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Valium
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used for: spasticity
side effects: drowsiness rarely used anymore |
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Zanaflex
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used for: spasticity
side effects: fewer |
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Botox
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used for: spasticity
MOA: inhibits peripheral ACh release side effects: toxicity in large doses |
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Procane
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used for: diagnostic blocks
effects up to 8 hours |
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Phenol
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used for: chemodenervation, larger muscles
inject into nerve trunks or motor points |
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Contraindications for use of spasticity meds
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1. if pt uses their spasticity for fx activity (standing)
2. pt is on anticoagulant therapy (potential bleeding at injection site) 3. pt is unable to cooperate 4. pt has a joint deformity/contracture |
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Criteria for Baclofen pump
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pt is a 3 or 4 on modified Ashworth scale
pt has multiple joint spasticity that limits fx pt can't tolerate oral medication |
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Baclophen pump
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pump in abdomen
catheter to L2, up to T6 and as far as the cervical spine |
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Precautions with Baclofen pump
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avoid forceful trunk exercise
avoid heat modalities |
