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5) CH 22 anticonvulsants
pharmacology fscj 2011
9
Nursing
Undergraduate 3
11/26/2011

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Term
Drugs used for epileptic seizures are called
Definition
anticonvulsants
Term
Anticonvulsants are classified as
Definition
central nervous system (CNS) depressants.
Term
what act by inhibiting sodium influx, stabilizing cell membranes, reducing repetitive neuronal firing, and limiting seizures.
Definition
hydantoins
Term
hydantoins are contrandicated when
Definition
during pregnancy
Term
side effects of hydantoins
Definition
Headache, diplopia, confusion, dizziness, sluggish, decreased coordination, ataxia, slurred speech, rash, anorexia, nausea, vomiting, hypotension (after IV administration), pink-red/brown discoloration of urine
Term
adverse reactions of hydantoins
Definition
Aplastic anemia, thrombocytopenia agranulocytosis, Stevens-Johnson syndrome, hypotension, ventricular fibrillation,osteoporosis
Term
2. Phenytoin (Dilantin) has been prescribed for a client with seizures. The nurse should include which appropriate nursing intervention in the plan of care?

a. Reporting an abnormal phenytoin level of 18 mcg/mL

b. Monitoring CBC levels for early detection of blood dyscrasias

c. Encouraging the client to brush teeth vigorously to prevent plaque buildup

d. Teaching the client to stop the drug immediately when passing pinkish-red or reddish-brown urine
Definition
B
Term
3. When administering phenytoin (Dilantin), the nurse realizes more teaching is needed if the client makes which statement?

a. “I must shake the oral suspension very well before pouring in the dose cup.”

b. “I cannot drink alcoholic beverages when taking phenytoin.”

c. “I should take phenytoin 1 hour before meals.”

d. “I will need to get periodic dental checkups.”
Definition
C
Term
6. The nurse should monitor the client receiving phenytoin (Dilantin) for which adverse effect?

a. Psychosis

b. Nosebleeds

c. Hypertension

d. Gum erosion
Definition
B
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