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Epileptic Drugs

LSC Nursing

QuestionAnswer
Carbamazepine (Tegretol, Tegretol-XR, Carbatrol) partial or generalized tonic/clonic seizuresMonitor for HA, dizziness, diplopia or blurred vision, N&V, and leukopenia
Clonazepam (Klonopin) Absence myoclonic and akinetic seizures, Do Not Crush or chew sustained released capsules
Clorazepate dipotassium Adjunctive mgmt of partial sezures, give w/food, monitor BP
diazepam (Valium, Apodiazepam) lorazepam (Ativan), Diastat (Valium rectal gel) Monitor ABC's
Divalproex (Depakote) valprioic acid (Depakene) All seizure types, Monitor hair loss, tremor, increased liver enzymes, bruising, Monitor CBC, PT, PTT, and AST
Ethosuximide (Zarontin) Absence Seizures, Watch for N&V, skin rash, lethargy and anorexia
Felbatol Complete Partial seizures, aplastic anemia & liver failure is an Adverse SE, pt must sign consent, monitor cbc,liver function watch for anorexia and wt. loss
Neurontin Partial Seizures, Watch for increased appetite and wt gain, monitor for ataxia, irritability, dizziness & Fatigue
Lamictal Partial Seizures, watch for diplopia, HA, dizziness, drowsiness, ataxia, N/V, and life threatening rash when given w/valproic acid
Keppra Adjunct mgmt partial seizures, monitor renal function carefully, notify physician of abnormal gait/coordination problems
Phenytoin (Dilantin) fosphenytoin (Cerebyx) ALl seizure types, Monitor for GI distress, gingival hyperplasia, anemia, ataxia, & nustagmus. Check CBC & Calcium levels, monitor therapeutic drug levels (Toxic >30mcg/ml) for IV phenytoin flush w/saline before & after, for fosphenytoin, use equiv phenyt
Created by: ginabeana
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