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What is the definition of a generalized seizures?
involves both hemispheres: loss of consciousness
Define tonic-clonic seizures
- sustained contractures, loss on consciousness
- clonic-rapid jerking motion
- risk for hypoxia
How long do absence seizures occur for
last less than a minute
rapid muscle contraction in one part of the body
sudden loss of muscle tone
Define a partial seizure
involve 1 of the hemispheres
What is a complex seizure?
What is a simple seizure?
consciousness not impaired
What is critical during a seizure?
Safety of the patient
What is the first drug of choice for Antiseizure medication?
What is the MoA of Phenytoin (Dilantin)?
Na channel blocker
What produces a seizure?
Influx of sodium into cells
What are contraindications of Phenytoin (Dilantin)?
- Bradycardia, Heart Block
- Allergy to med
- CNS depressant
What is the biggest issue for patients taking Phenytoin (Dilantin)
Common ADE for Phenytoin (Dilantin)
- Ataxia (unsteady gait)
- Gingival hyperplasia (gums overgrow)
Serious ADE for Phenytoin (Dilantin)
- Stevens-Johnson syndrome
What are the Black Box warnings for Phenytoin (Dilantin)
- Cat D
- Administer IV slowly (50mg/min)
- Increase risk for suicide
What does Phenytoin (Dilantin) need to be mixed with only?
What is the benzo for antiseizures?
What is the MoA of Diazepam (Valium)
What is the barbiturate for antiseizures?
Phenobarbital (Long acting barbiturate)
What is the MoA of Phenobarbital?
What is Status Epilepticus?
Recurrent Tonic-Clonic seizures
What is the main cause of status epilepticus?
Having the patient stop the medication
While having status epilepticus what do you need to do?
What are 2 other benzos that the patient may take for seizures?
- clonazepam (Klonopin)- txs absence seizures
- Lorazepam (Ativan)-long acting
How long should the seizure go until you call the PCP?