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Define a seizure
abnormal electrical activity
seizures that are chronic and recurrent
What is a partial seizure?
What are the 2 types?
- 1 hemisphere is involved
- Simple (consciousness not impaired)
- Complex (consciousness impaired)
Define generalized seizures?
What are the two types to remember?
- Both hemisphere and loss of consciousness
What is the definition of "tonic" and "clonic"
- clonic- shaking
What is the biggest concern with tonic-clonic seizures?
the contraction of the diaphragm and the inability to breath
What is the main anti-seizure medication?
What is the MoA of Phenytoin (Dilantin)
Na Channel Blocker
What are the contraindications for Phenytoin (Dilantin)
- bradycardia and heart block
- CNS depressant
What are some common ADE for phenytoin (Dilantin)?
- Ataxia, N/V, Lethargy, Gingival Hyperplasia
- Steven-Johnson's, Hepatotoxicity
What are the cautions warnings for phenytoin (Dilantin)?
- Given only w NS
- Dilantin +Benzo precipitate, do NOT give together
- DM may need increase in meds
What are the Black Box warnings for phenytoin (Dilantin)?
- Category D
- Administer IV slowly
- Increased risk of suicide