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Epileptic Drugs
LSC Nursing
Question | Answer |
---|---|
Carbamazepine (Tegretol, Tegretol-XR, Carbatrol) | partial or generalized tonic/clonic seizuresMonitor for HA, dizziness, diplopia or blurred vision, N&V, and leukopenia |
Clonazepam (Klonopin) | Absence myoclonic and akinetic seizures, Do Not Crush or chew sustained released capsules |
Clorazepate dipotassium | Adjunctive mgmt of partial sezures, give w/food, monitor BP |
diazepam (Valium, Apodiazepam) lorazepam (Ativan), Diastat (Valium rectal gel) | Monitor ABC's |
Divalproex (Depakote) valprioic acid (Depakene) | All seizure types, Monitor hair loss, tremor, increased liver enzymes, bruising, Monitor CBC, PT, PTT, and AST |
Ethosuximide (Zarontin) | Absence Seizures, Watch for N&V, skin rash, lethargy and anorexia |
Felbatol | Complete Partial seizures, aplastic anemia & liver failure is an Adverse SE, pt must sign consent, monitor cbc,liver function watch for anorexia and wt. loss |
Neurontin | Partial Seizures, Watch for increased appetite and wt gain, monitor for ataxia, irritability, dizziness & Fatigue |
Lamictal | Partial Seizures, watch for diplopia, HA, dizziness, drowsiness, ataxia, N/V, and life threatening rash when given w/valproic acid |
Keppra | Adjunct mgmt partial seizures, monitor renal function carefully, notify physician of abnormal gait/coordination problems |
Phenytoin (Dilantin) fosphenytoin (Cerebyx) | ALl seizure types, Monitor for GI distress, gingival hyperplasia, anemia, ataxia, & nustagmus. Check CBC & Calcium levels, monitor therapeutic drug levels (Toxic >30mcg/ml) for IV phenytoin flush w/saline before & after, for fosphenytoin, use equiv phenyt |