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60 Cards in this Set

  • Front
  • Back
what routes can the drug Cerebyx for epilepsy be given?
IM or IV
what routes can the drug Dilantin be given?
oral or IV
can Dilantin ever be given IM?
does Dilantin stop someone from seizing?
what can happen if Dilantin is given too fast?
hypotension and cardiac arrhythmias
what is the loading dose of Dilantin?
15 mg/kg (about a gram)
what is Dilantin a poster child for?
drug shortages
what do you have to remember when giving Dilantin?
cannot give too fast because of the solvent
what Benzo is usually given for seizures?
Ativan (Lorazepam)
what kinds of receptors are affected by Benzos?
memory, emotion, muscles
is Ativan used long term?
what can you give at the same time as Ativan?
what is the drug of choice for febrile seizures?
Barbiturate drugs (Phenobarbital)
how can Phenobarbital be given?
IV or IM
what is an example of an anticonvulsant drug related to GABA?
Topiramate, Valproic acid, Depakote
how often is Depakote taken for seizures?
one a day
what are some common anti seizure meds that are not well understood?
Tegretol and Vimpat
what are some other anti seizure meds that are chemically unrelated to other anticonvulsant drugs?
Lamictal, Keppra, Trileptal, Mysoline
what does the choice of drug therapy depend on?
patient's clinical symptoms and EEG test
what do you do if the drug level is sub therapeutic?
increase the drug dose
what do you do if the drug level is therapeutic?
give a prescription of a different anticonvulsant drug
what are four common types of seizures?
tonic clonic, petit mal, psychomotor, focal motor
what characterizes a tonic clonic/grand mal seizure?
unconsciousness, excessive motor activity, tongue biting, tonic clonic movements
what are drugs for tonic clonic seizures?
Tegretol, Cerebyx, Lamictal, Keppra, Dilantin, Luminal, Mysoline, Topamax
what characterizes petit mal seizures?
impaired consciousness, vacant staring, repetitive blinking, facial tics
what are drugs for petit mal seizures?
Valproic acid
what characterizes a complex partial seizure?
LOC, involuntary contractions of one or more muscle groups (lip smacking, fumbling, have an aura before)
what are some drugs for complex partial seizures?
Tegretol, Tranxene, Neurontin, Lamictal, Keppra, Topamax, Depakene/Depakote
what are some drugs for focal motor seizures?
Neurontin, Lamictal, Keppra, Trileptal, Luminal
is status epilepticus a medical emergency?
what is status epilepticus?
state of prolonged seizure activity, frequently repeated individual seizures
what drugs are given for status epilepticus?
Diazepam (Diastat) and Cerebyx, Ativan, Pentobarbital
what are the loading doses for Cerebyx and Ativan?
Cerebyx- 15-20 mg; Ativan 2-4 mg IV push
what kinds of drugs are given for Alzheimer's disease?
Cholinesterase- breaks down acetylcholine
what drug names are given for Alzheimer's disease?
Aricept, Razadyne, Exelon, Cognex
what is the only Alzheimer's drug that comes in a transdermal patch?
what causes Parkinson's disease?
an imbalance of dopamine and acetylcholine
what are some early symptoms of Parkinson's disease?
muscle rigidity, tremors, slowing of voluntary movements, mask-like facial expression, drooling from facial muscles, resting tremor
what are drugs for Parkinson's disease divided into?
drugs that enhance dopamine and those that enhance acetylcholine
what are the drawbacks of levodopa?
a large oral dose has to be given because most was converted to dopamine before reaching the brain
what was found when levodopa was given with carbidopa?
carbidopa inhibited the enzyme, causing larger doses of dopamine and more levodopa to cross the blood-brain barrier
what are some Dopamine agonist drugs for Parkinson's disease?
Symmetry, Apokyn, Parlodel, Mirapex, Requip, Neupro
what is the action of MAO inhibitors for Parkinson's disease?
inhibit the enzyme in the brain that destroys Dopamine
what is the action of anticholinergic drugs for Parkinson's disease?
inhibit the action of acetylcholine at cholinergic receptors in the brain
what is an example of COMT inhibitor drug for Parkinson's?
Entacapone (Comtan)
what are some combination drugs used for Parkinson's disease?
Sinemet, contain carbidopa and levodopa
can any Parkinson's disease drugs "cure" it?
what vaccine helps to prevent shingles/postherpetic neualgia?
what is a tricyclic antidepressant drug used for restless leg syndrome?
what two main drugs are used for restless leg syndrome?
Mirapex, Requip
is there currently an ideal sleep aid?
how long are hypnotic/sedative drugs used for to induce sleep?
7-14 days, but never actually happens
what is the most frequently prescribed drug we use for sleep?
Ambien, Also Luniest and Sonata
what hormone drug is used to regulate the 24 hour wake-sleep cycle?
what is the main melatonin drug called?
what is the safest drug with one of the shortest half lives benzo used for insomnia?
what drug with a side effect of drowsiness is used for insomnia?
should the elderly ever take Benadryl?
what are some OTC drugs used for insomnia?
Diphenhydramine and Doxylamine
what do combination drugs for insomnia contain?
an antihistamine and an analgesic