NUR 314 CNS/PNS Questions & 100%
Correct Answers-
Types of seizures
✓ :~~ Tonic-Clonic
Absence
Myoclonic
Febrile (occurs w/ high fever)
Jacksonian (only involved one part of body)
Psychomotor
Status epilepticus
Partial seizures
✓ :~~ Partial-one area of brain & usually don't spread. S\S depend on location
-Simple partial
-Complex partial (series of reactions associated with seizure)
Drugs that treat general seizures do what?
✓ :~~ -Stabilize nerve membranes by blocking channels in the cell membrane
or altering receptor sites (works in CNS)
Hydantoins do what?
Master01 | September, 2024 | Latest Update
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✓ :~~ (ethotoin, fosphenytoin, phenytoin (Dilantin))
-Stabilize nerves (CNS directly) by...
-Influence ionic channels (cell membrane) by decreasing excitability
-less sedating
-significant adverse effects
Hydantoins & Barbiturates contraindications
✓ :~~ Elderly
Impaired renal\hepatic
Coma, depression, psychoses
Allergy
Pregnancy\lactation
Hydantoins adverse effects
✓ :~~ -CNS: confusion, lethargy, confusion, fatigue, constipation, dry mouth,
change in BP, loss of libido
-Severe liver toxicity
-Bone marrow suppression
-Gingival hyperplasia*
-Serious dermatological reactions
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Drug to drug with Hydantoins
✓ :~~ ETOH
Herb; evening primrose
Ginkgo (very toxic)
Barbiturates do what?
✓ :~~ (mephobarbital, phenobarbital, primidone)
-Inhibit impulse conduction in ascending reticular activating system (RAS)
-Depress cerebral cortex
-Alter cerebellar function
-Depress motor nerve output
Barbiturates adverse effects
✓ :~~ -CNS depression (degree is dose related)
-Phenobarbital: a\w physical dependance and withdrawal. Severe dermatological
reactions. Drug tolerance.
Barbiturate drug to drug
✓ :~~ ETOH
Anxiolytics do what?
Master01 | September, 2024 | Latest Update