Chap 14 (exam 2) Flashcards Preview

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Flashcards in Chap 14 (exam 2) Deck (20):
1

Status epilepticus is considered a life-threatening medical ____.

Emergency

2

A type of epilepsy with an unknown cause

Primary

3

A potential adverse effect of valproic acid

Hepatotoxicity

4

A brief episode of abnormal electrical activity in the nerve cells of the brain

Seizure

5

Intravenously administered antiepileptic drugs are given ___ to avoid serious adverse effects.

Slowly

6

A type of epilepsy with a distinct cause

Secondary

7

An involuntary spasmodic contraction of voluntary muscles throughout the body

Convulsion

8

This class of drugs is one of the first-line drugs used to treat status epilepticus

Benzodiazepines

9

Another term for a type of epilepsy with an unknown cause

Idiopathic

10

A barbiturate used primarily to control tonic-clonic and partial seizures

Phenobarbital

11

The metabolic process that occurs when the metabolism of a drug increases over time, which leads to lower-than-expected drug concentrations

Autoinduction

12

Recurrent episodes of convulsive seizures

Epilepsy

13

Generic name of a first-line antiepileptic drug, which can cause gingival hyperplasia with long-term use

Phenytoin

14

A patient has been taking antiepileptic drugs for a year. The nurse is reviewing his recent history and will monitor for which condition that may develop during this time?
Loss of appetite
Jaundice
Weight loss
Suicidal thoughts or behaviors

Suicidal thoughts or behavior

15

A patient is experiencing a seizure that has lasted for several minutes and he has not regained consciousness. The nurse recognizes that this is a life-threatening emergency known as:
Status epilepticus
Tonic-clonic convulsion
Epilepsy
Secondary epilepsy

Status epilepticus

16

The nurse is giving an intravenous dose of phenytoin (Dilantin). Which guidelines will the nurse follow for administration? Select all that apply:
Inject phenytoin quickly
Inject phenytoin slowly
The injection of phenytoin is followed by an injection of sterile saline
Do not infuse phenytoin continuously
Mix the phenytoin with D5W (5% dextrose and water) for the infusion

Inject phenytoin slowly
The injection of phenytoin is followed by an injection of sterile saline
Do not infuse phenytoin continuously

17

The nurse is administering phenobarbital (Luminal) and will monitor the patient for which possible adverse effect?
Constipation
Gingival hyperplasia
Drowsiness
Dysrhythmias

Drowsiness

18

A patient has been admitted to the emergency department with status epilepticus. The nurse knows that which of these drugs is considered the drug of choice for this condition?
Phenobarbital (Luminal)
Diazepam (Valium)
Valproic acid
Phenytoin (Dilantin)

Diazepam (Valium)

19

A patient who is experiencing neuropathic pain tells the nurse that the physician is going to start him on a new medication that is generally used to treat seizures. The nurse anticipates that which drug will be ordered?
Phenobarbital (Luminal)
Phenytoin (Dilantin)
Gabapentin (Neurontin)
Tiagabine (Gabitril)

Gabapentin (Neurontin)

20

Phenytoin (Dilantin) is prescribed for a patient. The nurse checks the patient's current list of medications and notes that interactions may occur with which drug or drug classes? Select all that apply:
Proton pump inhibitors
Warfarin (coumadin)
Sulfonamide antibiotics
Corticosteroids
Oral contraceptives

Proton pump inhibitors
Warfarin (coumadin)
Sulfonamide antibiotics