Chapter 15 Flashcards
(35 cards)
When should antiepileptic drugs be given
Before any other med
What is a seizure
Abnormal electrical activity in brain
What is a convulsion
Spastic contractions of muscles
What is epilepsy
Chronic pattern of seizures
What is difference between primary and secondary epilepsy
Primary: unknown cause
Secondary: known cause
What are febrile seizures
Occur in children 6months to 5 years caused by fever
What are tonic clonic seizures
The person convulses
What are atonic seizures
The person collapses
What are focal seizures
Person stares into space
What are the 3 stages of seizures
Prodrome: beginning
Ictal: middle
Post ictal: end
What is status epilepticus
Multiple seizures
Last more than 5 mins
Medical emergency
What is the drug of choice for treating status epilepticus
Diazepam
What to antiepileptic drugs do
Slow down nerve impulses
Increase GABA
Which anti epileptic drug is also used for neuropathic pain
Gabapentin
Long term therapy of phenytoin causes
Gingival hyperplasia
Should Dilantin be given during pregnancy
No causes spina bifida
Do not give what with phenytoin
Warfarin, increases bleeding
Carbamazepine increases metabolism of
Acetaminophen
Valproic acid toxicity increases when given with
Aspirin
Why do anti epileptic drugs need lab monitoring
Have narrow therapeutic index
Most common adverse effect of phenobarbital and primidone is
Sedation
What is the relationship between phenobarbital and primidone
The liver turns primidone into phenobarbital
What med is used for febrile seizures
Phenobarbital or primidone
Vitamin D is taken with which med to prevent osteoporosis
Phenytoin sodium