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CNS
Disorders and Drugs
| Question | Answer |
|---|---|
| seizure | caused by abnormal electrical discharges in the cerebral cortex (main portion of the brain), resulting in a change of behavior |
| convulsion | involuntary contraction or series of contractions, of the voluntary muscles |
| epilepsy | neurologic disorder characterized by sudden and recurring seizures, involves disturbances of neuronal electrical activity that interfere with normal brain function |
| causes of seizures | alcohol or drug withdrawal, epilepsy, high fever, hypoglycemia and hyperglycemia, infection, brain tumors, trauma or head injury |
| negatively charged ions | such as chloride, inhibit neuron firing |
| positively charged ions | such as sodium and calcium, increase neuron firing |
| glutamate | excitatory neurotransmitter |
| GABA | inhibitory neurotransmitter |
| partial seizure | localized in a specific hemisphere of the brain, generally a result from injury to the cerebral cortex |
| simple partial seizure | twitching and sensory hallucinations, no loss of consciousness |
| complex partial seizure | blank stare, postseizure amnesia with impaired consciousness often with confusion |
| generalized seizures | simultaneous malfunction in both hemispheres of the brain and has no local origin |
| tonic-clonic seizure (FKA Grand mal seizure) | muscle rigidity followed by muscle jerks with shallow breathing, loss of bladder control, excess salivation |
| status epilepticus | tonic-clonic convulsions, high fever, lack of oxygen severe enough to cause brain damage or death, with or without loss of consciousness |
| absence seizure (FKA petit mal seizure) | blank stare, rotating eyes, uncontrolled facial movements but no generalized convulsions, chewing, rapid blinking, can occur as often as 100 attacks a day |
| aura | premonition of attack through unusual sensations of light, sound, and taste |
| myoclonic seizure | sudden, massive, brief muscle jerks or nonmassive, quick jerks of the arms, hands, legs or feet; consciousness not lost, can occur during sleep |
| atonic seizure | sudden loss of muscle tone and consciousness |
| sodium channel blockers | MOA: block sodium in the fast sodium channels, decreases inappropriate firing of neurons; most common MOA of anticonvulsants |
| calcium channel blockers | MOA: block calcium channels, decreases inappropriate firing of neurons |
| GABA enhancers | MOA: inhibitory neurotransmitter, increase GABA= anticonvulsant; decrease GABA= proconvulsant |
| glutamate inhibitors | MOA: excitatory neurotransmitter, ldecrease glutamate= anticonvulsant; increase glutamate= proconvulsant |
| monotherapy | single drug therapy at a low dose, increase dose gradually over 3-4 weeks until seizures are controlled or adverse side effects occur; |
| combination therapy or polytherapy | using two or more drugs from different classes; common among patients with severe forms of epilepsy |
| antiepileptic drugs | usually seizure type specific, may control one type of seizure but exacerbate another type. |
| anticonvulsant drugs | drugs used to control seizures, relatively narrow therapeutic ranges, factors that effect bioavailability: storage conditions, drug's physical and chemical characteristics, dosage form, patient's physical condition, drug interactions; medication guide |