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nsg pharm 18

anticonvulsants

QuestionAnswer
Klonopin drowsy/dizzy/resp depression-- benzodiazepine, do not d/c suddenly
Valium drowsy/dizzy/resp dep-- do not IVP more than 2mg/min!, w/drawal= vomiting/sweating/cramps/tremors/convulsion
Cerebyx (phosphenytoin) leukopenia/anemia, contact MD if rash dev!
Keppra suicidal ideation
Phenytoin sodium (dilantin) blurred vision, gingival hypertrophy--*red/brown/pink discoloration of sweat-- given IV may lead to cardiac arrest-- **have crash cart there!
Luminal (phenobarbital) resp depression-- nystagmus=early toxicity
primidone (mysoline) may take up to 2wks
magnesium sulfate monitor I&O, knee jerks must be tested a admin, monitor VS, used for PIH
depakote (valproic acid) do not take c soda! take c food, monitor bleeding/liver function
tegretol (carbamazepine) monitor CBC!, take c food
zarontin monitor wt weekly!
neurontin (gabapentin) monitor wt
"ontin" monitor wt!
lamictal give c food
topamax incr risk renal calculi, stop if dev eye probs
anticonvulsants drowsy/dizzy/resp dep/cardiac dep, don't d/c abruptly, caution c other meds (like MAOI)
Created by: criscocd89
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