chapter 32 anticonvulsants. copyright 2007 thomson delmar learning, a division of thomson learning...
DESCRIPTION
Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved Symptoms of Epilepsy Abnormal motor function Loss of consciousness Altered sensory awareness Psychic changesTRANSCRIPT
![Page 1: Chapter 32 Anticonvulsants. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 32 - 2 Epilepsy An electrical](https://reader036.vdocument.in/reader036/viewer/2022082415/5a4d1b7a7f8b9ab0599b8d1c/html5/thumbnails/1.jpg)
Chapter 32Anticonvulsants
![Page 2: Chapter 32 Anticonvulsants. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 32 - 2 Epilepsy An electrical](https://reader036.vdocument.in/reader036/viewer/2022082415/5a4d1b7a7f8b9ab0599b8d1c/html5/thumbnails/2.jpg)
Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
32 - 2
Epilepsy An electrical disorder of the brain that
sometimes leads to seizures Definitions
Seizure: a brief episode of abnormal electrical activity in the nerve cells
Convulsion: spasmodic contractions of involuntary muscles
![Page 3: Chapter 32 Anticonvulsants. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 32 - 2 Epilepsy An electrical](https://reader036.vdocument.in/reader036/viewer/2022082415/5a4d1b7a7f8b9ab0599b8d1c/html5/thumbnails/3.jpg)
Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
32 - 3
Symptoms of Epilepsy Abnormal motor function Loss of consciousness Altered sensory awareness Psychic changes
![Page 4: Chapter 32 Anticonvulsants. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 32 - 2 Epilepsy An electrical](https://reader036.vdocument.in/reader036/viewer/2022082415/5a4d1b7a7f8b9ab0599b8d1c/html5/thumbnails/4.jpg)
Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
32 - 4
Drug Agents Used to Prevent Seizures
Barbiturates Hydantoins Succinimides Benzodiazepines Other agents
Valproic acid Carbamazepine (Tegretol)
Clients often on these medications for life
![Page 5: Chapter 32 Anticonvulsants. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 32 - 2 Epilepsy An electrical](https://reader036.vdocument.in/reader036/viewer/2022082415/5a4d1b7a7f8b9ab0599b8d1c/html5/thumbnails/5.jpg)
Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
32 - 5
Anticonvulsants
Treatment Start with one drug and add others as
needed Check serum drug concentrations as
required
![Page 6: Chapter 32 Anticonvulsants. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 32 - 2 Epilepsy An electrical](https://reader036.vdocument.in/reader036/viewer/2022082415/5a4d1b7a7f8b9ab0599b8d1c/html5/thumbnails/6.jpg)
Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
32 - 6
Goal of Anticonvulsants
Prevent the generation and spread of excessive discharges in the brain
Protect the normal cells
![Page 7: Chapter 32 Anticonvulsants. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 32 - 2 Epilepsy An electrical](https://reader036.vdocument.in/reader036/viewer/2022082415/5a4d1b7a7f8b9ab0599b8d1c/html5/thumbnails/7.jpg)
Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
32 - 7
Anticonvulsants: Therapeutic Effects
Stabilize nerve cells and prevent hyperexcitability
Prevent the generation of hyperactive neurons
Prevent abnormal impulses from spreading
![Page 8: Chapter 32 Anticonvulsants. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 32 - 2 Epilepsy An electrical](https://reader036.vdocument.in/reader036/viewer/2022082415/5a4d1b7a7f8b9ab0599b8d1c/html5/thumbnails/8.jpg)
Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
32 - 8
Anticonvulsants: Side Effects
Carbamazepine (Tegretol) Blood dyscrasias
Phenytoin (Dilantin) Gum hyperplasia
Diazepam (Valium) Respiratory depression and drowsiness
![Page 9: Chapter 32 Anticonvulsants. Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved. 32 - 2 Epilepsy An electrical](https://reader036.vdocument.in/reader036/viewer/2022082415/5a4d1b7a7f8b9ab0599b8d1c/html5/thumbnails/9.jpg)
Copyright 2007 Thomson Delmar Learning, a division of Thomson Learning Inc. All rights reserved.
32 - 9
Pediatric Considerations
Barbiturates require lower dosages Excessive sedation, confusion, lethargy,
or decreased movement Paradoxical reactions Valproic acid: do not give with milk Wear a MedicAlert® bracelet