Seizure disorders, Anesthesia, ADHD and Narcolepsy
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each of the black spaces below before clicking
on it to display the answer.
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| Phenytoin (Dilantin) | Hydantoin for epilepsy
SE: Drowsiness, skin rash, gingival hyperplesia
D: Give with meals,inject IV slowly
CONTRA:Bradycardia, skin rash, seizures from low blood sugar
PT: Do not drive, brush teeth with a soft brush, report rash, don't st
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| Carbamazepine (Tegretol) | Iminostilbene for seizure disorder, bd
SE: Fluid retention, headache, blurred vision, skin rash
D: Give at bedtime as much as you can, check Asians with gene HLA-B*1502 for severe skin rash PT: No driving, use sunscreen CONTRA:hematologic disorders, HF
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| Valproic acid (Depakot, Depakene, Depacon) | For all seizure types SE: Upset GI, bruising, bleeding, skin rash, liver toxicity D:Give with food, oral or IV CONTRA: Liver disorder, thrombocytopenia, kidney disease
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| Anesthesia drug types | Local - Lidocaine
General - Barbiturates, Benzodiazepine, Opioids
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| Lidocaine (Xylocaine) | Local anesthesia
SE: restlesness, irritability, tremors, hypOtension, administer Ephedrine if hypotension worsens PT: Report dizziness, difficulty breathing CONTRA: Bradycardia, Heart block, older adults. Beta blockers increase effect
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| Sodium Thiopental (Pentothal) | General anesthesia/Barbiturate
SE: decrease heart rate, BP
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| Midazolam (Versed), Diazepam (Valium) | General anesthesia/Benzodiazepine
SE: Amnesia, cardiac/resp arrest D:Administer IM into a large muscle mass PT: Be aware of memory loss, CONTRA: Glaucoma, Parkinson's, cardiac/pulmonary/renal disorder
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| Fentanyl (Sublimaze) | General anesthesia/Opioid
SE: Sedation, nausea, resp. depression, D: Available in stick lozenges and IV PT:Expect drosiness, report nausea CONTRA: Substance abuse, MG, liver/kidney disorders
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| ADHD and Narcolepsy drugs | Amphetamines, methylphenidates, non-amphetamines
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| Amphetamine and dextroamphetamine sulfate (Adderall) | SE: Insomnia, nervousness, hypertension, weight loss D: No caffeine, take early no later than 4pm CONTRA: Hypertensions, hyperthyroidism, cardiovascular disease
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| Methylphenidate (Ritalin, Concerta) | SE: Insomnia, nervousness, hypertension, weight loss D:is available in patch forms, apply in hip area, press for 30 sec PT: Take as early as possible, report anorexia CONTRA: Heart defects, depression, hypertension, hyperthyroidism
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| Modafinil (Provigil) - non-amphetamine | SE: Nausea, diarrhea, minor CNS effects, rash D:Give in the morning for narcolepsy CONTRA: hypertension, heptaic/renal impairment
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