exam 4- lecture 1 Flashcards
(52 cards)
what do autacoid antagonists include?
H1-H2 receptor blockers
eicosanoids (prostaglandins, thromboxanes, and leukotrienes)
serotonin agonists
angiotensin inhibitors
cytokinins
this was recently released and used for seasonal rhinitis, lasts 24 hours
cetirizine (Zyrtec)
what are the adverse reactions of histamine?
anaphylaxis
what are some abnormalities associated with fetal hydantoin syndrome?
carniofacial anomalies, microcephaly, limb defects, growth deficiency and mental retardation
what seizures are termed tonic-clonic and absence?
generalized
what drugs are used to treat Grand Mal seizures?
valproic acid, phenytoin (dilantin), phenobarbital, and carbamazepine
what are the H2-agonist effects of histamine?
increased gastric acid secretion
this is continuous tonic clonic seizures lasting longer than 30 minute or reoccur before the end of the previous seizure and is an emergency situation
status epilepticus
this type of seizure, you are unaware that it is occuring, no aura or postictal state
absence (petit mal)
what is the goal of a status epilepticus seizure?
to control seizures and minimize potential adverse reactions
these are CNS depressants that attempt to prevent epileptic seizures without causing excessive drowsiness
anticonvulsants
term given to the congenital abnormality associated with maternal ingestion of phenytoin
fetal hydantoin syndrome
this type of seizure is brief loss of consciousness with characteristics EEG waves and little movement and usually begin in childhood
absence (Petit Mal)
what are the causes of epilepsy?
infection trauma genetic or birth influences fever metabolic or nutritional alterations neoplasms hereditary degenerative diseases
this type of seizure has long periods of unconsciousness, major motor activity of large muscles of body.. consciousness gradually returns with confusion, headache or drowsiness
tonic clinic (grand mal)
what are the H1 agonist effects of histamine?
H1-agonist effects:
vasodilation
increased capillary permeability
bronchoconstriction
pain or itching in cutaneous nerve endings
this is used alone or in combination with phenytoin, and used to treat tonic clonic and partial seizures… sedation is a side effect
phenobarbital
this is the most common barbiturate in the treatment of epilepsy
phenobarbital
this medicine causes sedation and drowsiness, bleeding time may be prolonged and additive CNS depressant effect
valproates (Depakote)
this medicine is used to treat convulsions and also used in dentistry to treat trigeminal neuralgia (tic douloureux)?
carbamazepine (Tegretol)
what is the drug of choice for status epilepticus?
parenteral benzodiazpeines (valium or diazepam)
where do the H1 antagonists competitively block or antagonize histamine effects at?
capillary permeability (less tissue edema)
vascular smooth muscle (blocks the dilation of the vascular smooth muscle)
bronchial smooth muscle (bronchodilator)
nerve endings (suppresses pain and itching can produce sedation)
this non sedating medicine was recently taken off of the market
astemizole (Hismanal)
these do not cross the blood brain barrier, therefore no sedation and are usually not expensive
peripheral (nonsedating) H1 receptor antagonists