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What is oxcarbazepine used for? What do we need to include in the plan for a patient on this medicaiton?
For seizures. They need to get lab testing done regularly
Lamotrigine - What is a common adverse effect?
For Seizures.... and it makes them VERY tired.
A patient has been taking Carbidopa-Levodopa for a week, what symptom do they need to report to their medical team immediately?
facial grimacing
Who cannot take Carbidopa-Levodopa?
a patient with open angle glaucoma
What is Zolpidem? what is a common adverse effect?
Ambien, lethargy
WHat neurotransmitters are in play with parkinsons?
ACetylcholine and Dopamine
Antiepileptic therapy is effective by?
increasing the patient's seizure threshold.
One drug at a time, if two meds, 5 min apart.
Question more than one drop of a particular med at a time.
Watch cap colors and labels so that the correct med is given.
Why is carbidopa and levodopa used together?
Because carbidopa alone has no effect.
What are the phases of sleep?
REM and NREM
What types of drugs do we give to discourage tardive dyskinesias in patients being treated with Pychosis?
Anticholinergics
If a patient is on dilantin and isoniazid reports feeling run down and lethargic, what should a nurse think if happening?
Dilantin/phenytoin toxicity
How do we prevent an eye medication from going systemic?
Provide lacrimal pressure for 5 minutes after instillation of the eye drops.
What is the fifth vital sign?
Pain
If a patient is using alprazolam for anxiety, what side effect will they possibly see?
Anticholinergics block the effects of what NT?
Acetylcholine
What is the trade name of carbamazepine?
Tegretol
What foods have tyramine in them?
Aged cheese, meats, raisins, dried fruit
They trasmit signals towards the spinal cord
What are the major concerns when a patient gets a new diagnosis of epilepsy
Major depression, life changes significantly
What is the MOST potent benzo used for convulsions?
Diazepam (Valium)
Serious effects of carbemazepine?
nephrotoxicity, hypertension, hepatotoxicity
What is the action of MAOI's on Neurotransmitters?
They block the destruction of them
What is the impaired ability to perform voluntary movements?
dyskinesia
What disease is associated with insufficient sleep?
MI