Milestone 3 Pharm HESI blueprint flashcards Questions
And Answers With Complete Solutions
phenytoin
Dilantin
anticonvulsant
"phenyTOXIC" : can't talk, can't walk: push IV slow
TX: chronic seizures
Therapeutic Range: 10-20 (>20- hold RX)
report ataxia, hand tremor, slurred speech
suicidal ideation, new rash (Steven Johnson)
gingival hyperplasia expected! urine discoloration is common.
*alternative BC
phenytoin levels
10-20
Brainpower
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trihexyphenidyl
Artane
TX parkinson sx, EPS
"tri hex"
orthostatic hypotension ankle edema : elevate legs
can't see can't pee can't spit can't shit
benztropine
Cogentin
TX sx of Parkinson's
orthostatic hypotension
ankle edema : elevate legs
can't see can't pee can't spit can't shit
Levodopa/Carbidopa
Sinemet
Tx sx of parkinsons
-Increase dopamine to minimize tremors and rigidity.
-Do not use levodopa (Sinemet) within 2 weeks of MAOI use.
-High protein decreases absorption
admin after meals
dark colored urine/sweat is normal
AE: orthostatic hypo.
avoid B6
amantidine
Symmetrel
TX sx of parkinsons
AE ankle edema, constipation
* elevate legs diazepam / lorazepam /
alprazolam / flurazepam
TX anxiety seizures insomnia alc withdrawal
"in a BENZ"
§ Dangerous, sedative
§ Acts fast, highly addictive, not long-term use
§ Side Effect: low and slow (CNS (fall risk) cardio resp)
§ Take at bedtime, do not skip doses or abruptly stop
§ Avoid valerian root, muscle relaxants
§ Report history of reaction to midazolam
§ Do not drink alcohol
§ Antidote for Benzos: Flumazenil
diazepam associated w cleft lip
phenobarbital
Luminal
TX anxiety insomnia sedative
§ Dangerous, sedative
§ Lasts longer in the body 3-5 days, so higher risk of toxicity
§***Patient on phenobarbital with low blood pressure and increased sedation: always assess the patient first
§ low and slow (CNS (fall risk) cardio resp)
§ Withdrawal symptoms
no alcohol
amitriptyline
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