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drugs afect CNS

pharm

QuestionAnswer
CNA stimulants crosses the BBB Based off of age and renal functions
drug class anorexiants
exmaples phentermine HCL benzphetamine methamphetamine
side affects palpitions dry mouth
AMPHETAMINES ADDERAL, ritalin increeases nuerotranmitters in cns txt an dmanages ADHD
actions increases release of norepineephrine and dopamine in cerebral cortex to reticular activation system
uses narcolypsea and ADHD
precautions GLAUCOOMA -IOP- cardiac structural abnormalities
side affects tachycardia and palpitations
MUSCLE RELAXANTS examples baclofen, soma ,metaxolone- skelaxin
uses muscle spasticity, mutiple sclerosis,
adverse reactions dorwziness,hypotension,coonstipatiosn, siezires, renal impaiment, the HOLY TRINITY
nursing Avoid CNS depressants avoid alcholol do not abruptly stop taking medications
antiepileptic/ANTICONVULSANTS Stabilzes storm/ increase sizzer threshhold
HYDANTOINS Stabilize the hyperexitabilty post synaptically in motor cortex of brain
uses tonic clonic seiziers, status epilepticus, prophylatic seizure preventions
examples phenytoin/ dilantinin IV only with normal saline
adverse reactions gingival hyperplasia
nursing DO not gve IM do not stop taking abruprtly monitor LFTS hygin mouth- dentist, risk fals for injury
CARBOXLIC ACID DERIVATIVES the P organs pancretitus,platlets
actions increase levals of GABA
uses controlling generalized and partial seizures
exmmaple vaproic acid
adverse reactions suicidal thoughts hepatoxic ancreatitis
nursing Monitor for sucidial thoughts monitor for liver funtions
SUCCINIMIDES depress the motor cortex
ues partial seizures
adverse reactions gingival hyperplasia blood dyscrasias
interactions barbiturates valproic acid
nursing take as directed, do not dtop abruptly avoid alcohol CNS depressents m/o resp status
Benzodiazepines pam and lam driving a benz
actions elevate the siezure threshold
uses siezure disorders panic disorders aclholo withdrawls
example clonazepa diazipam lorazepam xanax
adverse reactions apnea, cardiac arrest
nursing do not mix with seditives other CNS depressents alcholol use cautin in elderly m/o vitals
lorazapam antidote flumazenil -romazicon-
miscellanous needs lamotrigine-lamicatal-,levetiracetam--keppra carbamazepine -tegrol- pregabalin-lyrica toprimate- topomax
uses parital seizures epiepsy migranze(keppra and topomax)
nursing avoid CNS depressents m/o vs oeriphreal nueropthy in diabaites
Created by: mmishue
 

 



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