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Antiepileptics, Antiparkinsons, and Psychotherapeutics
Question | Answer |
---|---|
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. |