pharm122
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each of the black spaces below before clicking
on it to display the answer.
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| anticonvulsant | is a drug that terminates convulsive seizures
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| antiepileptic | used prophylactically to reduce or prevent epileptic seizures
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| What are some considerations regarding anti-seizure drug therapy? | CNS depression can lead to respiratory depression, most have a low therapeutic index (check serum levels), lots of drug interactions, class D pregnancy class, decrease oral contraceptives, folic acid deficiency
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| What are the overall goals for anti-seizure therapy? | suppress neuronal firing enough to prevent repetitive or abnormal firing AND/OR increase the electrical threshold for firing to prevent epileptics from crossing the threshold as often (succanimides).
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| What is GABA? | GABA is a primary inhibitory neurotransmitter that works in the brain
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| What do some anti-seizure meds do to GABA? | Anti-seizure meds will enhance GABA actions.
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| What is the drug category of choice for status epilepticus? | Benzodiazapines (lorazepam Ativan)
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| What are some adverse effects for Phenytoin (Dilantin)? | Adverse side effects for hydantoins include dizziness, ataxia, visual disturbances, dysrhythmias, peripheral neuropathy, agranulocytosis, and aplastic anemia, gingival hyperplasia
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| What are some nursing considerations for Phenytoin (Dilantin)? | Nursing considerations include CBCs, monitor serum levels, interact with many drugs, good oral hygiene and frequent trips to dentist.
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