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CSN pharm

Antiepileptics, Antiparkinsons, and Psychotherapeutics

QuestionAnswer
carbamezepine Na+ Channel blocker. Side effects are hyponatremia. Metabolized in liver. Give with meals.
Phenytoin Most common. Tonic-Clonic. Na+ Channel blocker. Side effects are lethargy, abnormal movements, confusion, gingival hyperplasia.
Lamotrigine Na+ Channel blocker. Side effects are Steven-Johnson syndrome. Metabolized in liver.
Valporate Na+ Channel blocker. Enhances GABA. Teratogenic. Metabolized in liver.
Topiramate Na+ Channel blocker. Enhances GABA. Side effects are cognitive impairment, weight loss and kidney stones. Metabolized in liver and kidney.
Pregabalin Side effects are ankle edema and weight gain. Metabolized in kidney.
Levitiracetam Side effects are depression and psychiatric issues. Metabolized in kidney.
Epilepsy: Neurological condition which affects the brain and nervous system by causing seizures.
Diagnosis of Epilepsy : EEG or MRI
Treatment of Epilepsy Antiepileptics, Vagus Nerve Stimulation, Surgery
Adverse Effects of Epilepsy N/V/D, sedation, suicidality.
Nursing Considerations for Epilepsy Seizure history, medications, allergies, panic attacks, autonomic nervous system responses, neurological assessment, lab results, skin assessments, oral exam, vital signs, environment assessment, vision.
Parkinson’s Disease: Neurodegenerative disorder that affects movement. Deficit in dopamine.
Diagnosis for Parkinson's Medical history, neurological examination (look for resting tremor, bradykinesia and rigidity) and DaTscan.
Treatment for Parkinsons' Medication, PT, OT, Speech Therapy, deep brain stimulation
Carbidopa-levodopa Levodopa the most effective Parkinson’s med is a natural chemical that passes into your brain and is converted to dopamine. Levodopa is combined with carbidopa which protects levodopa from premature conversion to dopamine outside your brain, which preven
Dopamine agonists don’t change into dopamine like levodopa
MAO-B inhibitors prevent the breakdown of dopamine by inhibiting the brain enzyme B
Catechol-O-methyltransferase inhibitors prolongs the effect of levodopa therapy by blocking an enzyme that breads down dopamine
Anticholinergics helps with tremors, stay away if you are older because of the kidney and liver
Amantadine short term relief of mild, early stage Parkinson’s disease. Symmetrel is also an antiviral.
Anxiolytic Drugs Alrazolam, Diazepam, Lorazepam, BuSpar
Contraindications of Anxiolytic drugs allergy, narrow angle glaucoma, pregnancy.
Adverse Effects of anxiolytic drugs Addictive, sedation
Mood Stabilizers Treats bipolar disorder.
Drugs of mood stabilizers Lithium, anti-epileptics, atypical antipsychotics.
Antidepressants first generation Drugs Tricyclics, Tetracyclics, MAOIs
Antidepressants second generation drugs SSRIs, SNRIs
Antipsychotics Treat serious mental illnesses such as drug-induced psychoses, mania, schizophrenia.
Side Effects of Antipsychotics Sedation, dry mouth, visual disturbances, flushing, constipation, weight gain, tardive dyskinesia.
Contraindications of antipsychotics Allergy, CNS depression, brain damage, kidney/liver disease, blood dyscrasias, uncontrolled epilepsy.
First Generation (Typical) of psychoanalytic Haldol
Second Generation (Atypical) of psychoanalytic Abilify, Clozapine, Risperdal.
Nursing considerations of psychoanalytic No milk with MAOIs! Black box warning for suicidal thoughts.
Created by: bethtoby