NUR 172 exam 3 study guide
Seizure/Epilepsy 10 questions:
o Differences between the different types of seizures
Clinical manifestations
Diagnosis - answer focal generalized and unknown (tonic clonic, typical absence
atypical absence atonic and tonic ) focal simple aware... unaware is complex.
psychogenic unknown
tonic 10-20 seconds
clonic jerking 30-40 sec
loose cons. cyanosis
salvation
tonge or cheek biting
incontinence
more than 5 min MED EMERG.
myoclonic, atonic clonic, tonic absence - answerMyo-sudden ex. jerking. atonic-drop
attack (HEAD) falls 15 sec.... clonic loss of cons. Tonic suden onset decreased tone stiff
monements conscious
Why do some seizures occur? - answerstroke, meds and electrolyte imbalnces hypoxia,
hypoglycemia, dehydration and etoh withdrawl
Emergency Rx during a seizure? - answerstay with pt, time the safe environment,
airway o2 prevent injury suction kit
Describe aura & triggers - answersesnory warning that is similar each time
Rx for different types of seizures? - answerantiepilepic drugs. must be taken daily
Seizure meds?... - answeralso called anticonvulsants, goal to control/prevent siezure.
adverse effects take for life
abruupt w/d can cause siezure.
try a single before combining
serum drugs must be measured
after 1-2 years siezure free can stop
common meds - answero phenytoin (Dilantin), levtiracetam (Keppra), Carbamazepine
(Tegretol, Tegretol-XL, Carbetrol) Valproate (Depakote
Emergent meds? - answeratavan and valium
, Phenytoin o therapeutic levels
o What routes can these meds be given? - answerDilantin long term will cause gingival
hyperplasia, acne hirutism and dilantin facies. suicidal thoughts and behavior watch for
change in mood
dilantin and a level of hepera dizapan and atavan
100-mg capsules
125 mg/5mL suspension
50 mg/mL injectable solution
gingival hyperplasia
hirsutism
acne
coarseness of facial features
th. level 10-20 ug/ml
HYDANTOINS
Levttiracetam therapeutic levels
o What routes can these meds be given? - answerKeppra
th range 12.0-46
pill form
iv meds
Carbamazepine o therapeutic levels
o What routes can these meds be given? - answerTegretol/carbetrol
IMINOSTIBERINES
n adults, carbamazepine is usually started at 100 or 200 mg daily. The dose is slowly
increased every 1-2 weeks ont taken is increased by 100 or 200 mg
Temporal Lobe Epilepsy
Focal Impaired Awareness or Complex Partial Seizures
Secondarily Generalized Seizures or Bilateral Tonic Clonic Seizure
Focal Aware or Simple Partial Seizure
Tonic-clonic Seizures
tablet or liquid. can be mixed
th level 4-12
valproate o therapeutic levels
o What routes can these meds be given? - answerdepakote VALPEIC ACID
th level 5-
0-125
capsules and syrup
ethsuximde - answerno iv
Phenobarbital - answerLuminal
Seizure/Epilepsy 10 questions:
o Differences between the different types of seizures
Clinical manifestations
Diagnosis - answer focal generalized and unknown (tonic clonic, typical absence
atypical absence atonic and tonic ) focal simple aware... unaware is complex.
psychogenic unknown
tonic 10-20 seconds
clonic jerking 30-40 sec
loose cons. cyanosis
salvation
tonge or cheek biting
incontinence
more than 5 min MED EMERG.
myoclonic, atonic clonic, tonic absence - answerMyo-sudden ex. jerking. atonic-drop
attack (HEAD) falls 15 sec.... clonic loss of cons. Tonic suden onset decreased tone stiff
monements conscious
Why do some seizures occur? - answerstroke, meds and electrolyte imbalnces hypoxia,
hypoglycemia, dehydration and etoh withdrawl
Emergency Rx during a seizure? - answerstay with pt, time the safe environment,
airway o2 prevent injury suction kit
Describe aura & triggers - answersesnory warning that is similar each time
Rx for different types of seizures? - answerantiepilepic drugs. must be taken daily
Seizure meds?... - answeralso called anticonvulsants, goal to control/prevent siezure.
adverse effects take for life
abruupt w/d can cause siezure.
try a single before combining
serum drugs must be measured
after 1-2 years siezure free can stop
common meds - answero phenytoin (Dilantin), levtiracetam (Keppra), Carbamazepine
(Tegretol, Tegretol-XL, Carbetrol) Valproate (Depakote
Emergent meds? - answeratavan and valium
, Phenytoin o therapeutic levels
o What routes can these meds be given? - answerDilantin long term will cause gingival
hyperplasia, acne hirutism and dilantin facies. suicidal thoughts and behavior watch for
change in mood
dilantin and a level of hepera dizapan and atavan
100-mg capsules
125 mg/5mL suspension
50 mg/mL injectable solution
gingival hyperplasia
hirsutism
acne
coarseness of facial features
th. level 10-20 ug/ml
HYDANTOINS
Levttiracetam therapeutic levels
o What routes can these meds be given? - answerKeppra
th range 12.0-46
pill form
iv meds
Carbamazepine o therapeutic levels
o What routes can these meds be given? - answerTegretol/carbetrol
IMINOSTIBERINES
n adults, carbamazepine is usually started at 100 or 200 mg daily. The dose is slowly
increased every 1-2 weeks ont taken is increased by 100 or 200 mg
Temporal Lobe Epilepsy
Focal Impaired Awareness or Complex Partial Seizures
Secondarily Generalized Seizures or Bilateral Tonic Clonic Seizure
Focal Aware or Simple Partial Seizure
Tonic-clonic Seizures
tablet or liquid. can be mixed
th level 4-12
valproate o therapeutic levels
o What routes can these meds be given? - answerdepakote VALPEIC ACID
th level 5-
0-125
capsules and syrup
ethsuximde - answerno iv
Phenobarbital - answerLuminal
