Antiseizure_drug_therapy - Antiseizure drug therapy Primary...

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Antiseizure drug therapy Primary goal is to obtain maximum seizure control with a minimum of toxic side effects; may be a fine line between control and toxicity; Older drugs like dilantin may require a therapeutic blood level drawn; newer drugs have a wider therapeutic range, therefore don’t generally require monitor the blood level Toxic effects: test the eyes for nystagmus, hand and gait coordination, cognitive function and general alertness. May have the staggering, uncoordinated gait that can be confused with alcohol intoxication. Side effects: involve the CNS and include diplopia, drowsiness, ataxia, and mental slowing A common side effect of dilantin is gingival hyperplasia (excessive growth of gingival tissue) Abrupt withdrawal after long term use can precipitate seizures; Because of the side effects especially mental slowing, complicance can be an issue If a patient comes in with seizures who is on antiseizure medications, ask if they have been taking the medication and when the last dose was taken. For status epilepticus require a rapid acting intravenous drug. The drug of choice is lorazepam (Ativan)
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This note was uploaded on 09/13/2011 for the course RNSG 2432 taught by Professor Marniequick during the Fall '10 term at Austin Community College.

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Antiseizure_drug_therapy - Antiseizure drug therapy Primary...

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