Neurological Meds Flashcards Preview

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Flashcards in Neurological Meds Deck (14)
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1
Q

Function of Anti-myasthenic Medications

A

AKA - anti cholinesterase medications

Relieve muscle weakness associated with myasthenia graves by blocking acetylcholine breakdown at the neuromuscular junction.

2
Q

Type of anti-myasthenic medications

A
  1. Ambenomium chloride
  2. Edrophonium chloride
  3. Neostigmine bromide
  4. Pyridostigmine
3
Q

Anti-Myasthenia medications - things to remember

A
  1. Monitor for overdose (cholinergenic crisis)
  2. Take with a small amount of food.
  3. Eat food 45-60 minutes after taking medication to prevent aspiration
4
Q

Function of Parkinson’s Medications

A

Restore the balance of acetylcholine and dopamine decreasing symptoms and increasing patient functioning.

5
Q

Types of Doperminergenic medications

A
  1. Levodopa
  2. Amantadine
  3. Pramipexole
6
Q

Things to remember about Dopaminerginic medications

A
  1. Cannot be taken with MAOIs as it may cause hypertensive crisis.
  2. May discolor urine
  3. Causes urine glucose testing to be inaccurate
7
Q

Anticholinergenic medications

A

Used to treat Parkinson’s disease. Blocks cholinergenic receptors in the CNS to reduce tremors but have little effect on bradykinesia, rigidity and balance. Includes:

  • benzotropine mesylate
  • biperedin hydrochloride
  • trihexyphenidl hydrochloride
8
Q

Anti-convulsants

A

Depress abnormal neuron discharges to prevent the spread of seizures to adjacent neurons. Should be taken with food, avoid milk. Includes:

  • ethotoin
  • fosphenytoin
  • phenytoin (dilantin) - also used to treat dysrhymias
  • lorazepam
9
Q

Side effects of anti-convulsants

A
  1. Blurred vision
  2. Decreased platelet count
  3. Decreased WCC
  4. Alopecia
  5. Rash
10
Q

To administer Phentoin IV

A

Dilute in normal salient and use an in-line filter. Administer no faster than 25-50 mg/min

11
Q

CNS Stimulants

A

Used to treat narcolepsy and ADHD. Stimulate the cerebral cortex and have high potential for abuse.

12
Q

Side effects of CNS Stimulants

A
  1. Restlessness
  2. Insomnia
  3. Dysrhythmias
  4. Hepatic failure
  5. Dependance
  6. Anorexia and weight loss
  7. Diarrhea and constpiation
  8. tumors
13
Q

NSAIDs

A

Used as an analgesic, antipyretic, anti-inflammatory, and anticoagulant.
Include aspirin and ibuprofen - aspirin should not be taken with other NSAIDs as it increases bleeding risk.
Can cause hypoglycemia if taken with insulin. Do not use in patients with liver or kidney disease.

14
Q

Types of opiod analgesics

A

Dilaudid, Demerol, Morphine sulfate.