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Pharm Neuro part 1
Seizure disorders, Anesthesia, ADHD and Narcolepsy
| Generic name (Brand name) | Indication |
|---|---|
| Phenytoin (Dilantin) | Hydantoin for epilepsy SE: Drowsiness, skin rash, gingival hyperplesia D: Give with meals,inject IV slowly CONTRA:Bradycardia, skin rash, seizures from low blood sugar PT: Do not drive, brush teeth with a soft brush, report rash, don't st |
| Carbamazepine (Tegretol) | Iminostilbene for seizure disorder, bd SE: Fluid retention, headache, blurred vision, skin rash D: Give at bedtime as much as you can, check Asians with gene HLA-B*1502 for severe skin rash PT: No driving, use sunscreen CONTRA:hematologic disorders, HF |
| Valproic acid (Depakot, Depakene, Depacon) | For all seizure types SE: Upset GI, bruising, bleeding, skin rash, liver toxicity D:Give with food, oral or IV CONTRA: Liver disorder, thrombocytopenia, kidney disease |
| Anesthesia drug types | Local - Lidocaine General - Barbiturates, Benzodiazepine, Opioids |
| Lidocaine (Xylocaine) | Local anesthesia SE: restlesness, irritability, tremors, hypOtension, administer Ephedrine if hypotension worsens PT: Report dizziness, difficulty breathing CONTRA: Bradycardia, Heart block, older adults. Beta blockers increase effect |
| Sodium Thiopental (Pentothal) | General anesthesia/Barbiturate SE: decrease heart rate, BP |
| Midazolam (Versed), Diazepam (Valium) | General anesthesia/Benzodiazepine SE: Amnesia, cardiac/resp arrest D:Administer IM into a large muscle mass PT: Be aware of memory loss, CONTRA: Glaucoma, Parkinson's, cardiac/pulmonary/renal disorder |
| Fentanyl (Sublimaze) | General anesthesia/Opioid SE: Sedation, nausea, resp. depression, D: Available in stick lozenges and IV PT:Expect drosiness, report nausea CONTRA: Substance abuse, MG, liver/kidney disorders |
| ADHD and Narcolepsy drugs | Amphetamines, methylphenidates, non-amphetamines |
| Amphetamine and dextroamphetamine sulfate (Adderall) | SE: Insomnia, nervousness, hypertension, weight loss D: No caffeine, take early no later than 4pm CONTRA: Hypertensions, hyperthyroidism, cardiovascular disease |
| Methylphenidate (Ritalin, Concerta) | SE: Insomnia, nervousness, hypertension, weight loss D:is available in patch forms, apply in hip area, press for 30 sec PT: Take as early as possible, report anorexia CONTRA: Heart defects, depression, hypertension, hyperthyroidism |
| Modafinil (Provigil) - non-amphetamine | SE: Nausea, diarrhea, minor CNS effects, rash D:Give in the morning for narcolepsy CONTRA: hypertension, heptaic/renal impairment |
Created by:
lvn9561
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