Module 5 - Part 3

Question 1

DIETARY RECOMMENDATION for Epilepsy

Answer 1

Ketogenic Diet
Modified Atkins Diet

Question 2

Treatment for Generalized Epilepsy

Answer 2

Valproic Acid

Question 3

MOA of Valproic Acid

Answer 3

Increase GABA and blocks T-type Calcium channel
in the brain

Question 4

It is important in absence seizure
Caution to women: causes weight gain

Answer 4

T-type

Question 5

Drug for Tonic-Clonic Seizure
Available in OD Prep
Causes Stevens-Johnson syndrome (SJS)

Answer 5

Phenytoin

Question 6

A carbonic anhydrase inhibitor
Blocks T-type Calcium channel
Prolongs sodium channel inactivation

Answer 6

Zonisamide

Question 7

For tonic- clonic seizure
Inhibits Sodium channel and potentiates the inhibitory activity of GABA
May block glutamate
ADR: Teratogenic

Answer 7

Topiramate

Question 8

Drug For Primary GTCS in adults and children <6 years old For juvenile myoclonic and partial seizure

Answer 8

Levetiracetam

Question 9

Drug that Decreases the neuronal activity and increases the seizure threshold

Answer 9

Primidone

Question 10

1,5 benzodiazepine, enhances inhibitory effect of GABA by increasing permeability of chloride ions

Answer 10

Clobazam

Question 11

It is the Continuous state of Seizure
Medical emergency when the a seizure hits the five minute mark

Answer 11

Status Epilepticus

Question 12

OCCURENCE OF Status Epilepticus

Answer 12

Children under 15 years old who have seizures brought on by high fever
Adults over 40 (Will more likely experience stroke)

Question 13

Causes of Status Epilepticus

Answer 13

• Low blood sugar
• HIV
• Head Trauma
• Heavy Alcohol or Drug use
• Kidney or Liver failure

Question 14

CLINICAL ASSESSMENT Status Epilepticus

Answer 14

• EEG
• Blood Chemistry
• Urinalysis
• CT scan
• Chest Xray

Question 15

PRE-HOSPITAL CARE for Status Epilepticus

Answer 15

Check for ABCs
* Airway
* Breathing
* Circulation
* Diazepam may be administered (IV) or per rectum