May impair vision Changes in vision, concentration, or coordination should be reported to doctor. Should not be stopped abruptly because of the potential for status epilepticus Do not take with antacids Priority for a pt in the postictal phase is to assess the pt’s breathing pattern for effective rate, rhythm , and depth Carbamazepine- [Tegretol] - Anticonvulsant that prevent further seizures Anticonvulsants should NEVER be stopped suddenly- they need to be tapered Sudden stop of drug can lead to life threatening status epilecticus During the seizure The RN should not movement of pt’s head, eyes and muscle rigidity, especially when the seizure first begins To obtain clues about the location of the trigger focus in the brain Also note the progression and duration, respiratory status, loss of consciousness pupil size and incontinence of urine and stool When a dressing sticks to a wound, it is best to moisten the dressing with sterile NS and then remove it carefully. Trying to remove a dry dressing is likely to irritate the skin and wound. May contribute to tension or tearing along the suture line. Aura- a premonition of an impending seizure. Usually of sensory nature- olfactory, visual, gustatory, or auditory Topamax- [Topirmate] – Toxic effects- nephrolithiasis Encourage pt’s to drink 6-8 glasses of water a day to dilute urine and flush the renal tubules to avoid stone formation Dilantin- [Phenytoin] - Common adverse effect of long-term use- overgrowth of gingival tissue Encourage good oral hygiene Clonazepam- crosses the placental barrier Stroke Glasgow Coma Scale Provides objectives neurologic assessments: on a scale of 3-15 Spontaneity of eye opening Best motor response Best verbal command Coumadin [ Warfarin Sulfate] Maximum dose is not achieved until 3-4 days after starting the medication Effects continue for 4-5 days after discontinuing the medication Vitamin K is antidote t-PA treatment within 3 hours after the onset of a stroke have better outcomes
May impair vision Changes in vision, concentration, or coordination should be reported to doctor. Should not be stopped abruptly because of the potential for status epilepticus Do not take with antacids Priority for a pt in the postictal phase is to assess the pt’s breathing pattern for effective rate, rhythm , and depth Carbamazepine- [Tegretol] - Anticonvulsant that prevent further seizures Anticonvulsants should NEVER be stopped suddenly- they need to be tapered Sudden stop of drug can lead to life threatening status epilecticus During the seizure The RN should not movement of pt’s head, eyes and muscle rigidity, especially when the seizure first begins To obtain clues about the location of the trigger focus in the brain Also note the progression and duration, respiratory status, loss of consciousness pupil size and incontinence of urine and stool When a dressing sticks to a wound, it is best to moisten the dressing with sterile NS and then remove it carefully. Trying to remove a dry dressing is likely to irritate the skin and wound. May contribute to tension or tearing along the suture line. Aura- a premonition of an impending seizure. Usually of sensory nature- olfactory, visual, gustatory, or auditory Topamax- [Topirmate] – Toxic effects- nephrolithiasis Encourage pt’s to drink 6-8 glasses of water a day to dilute urine and flush the renal tubules to avoid stone formation Dilantin- [Phenytoin] - Common adverse effect of long-term use- overgrowth of gingival tissue Encourage good oral hygiene Clonazepam- crosses the placental barrier Stroke Glasgow Coma Scale Provides objectives neurologic assessments: on a scale of 3-15 Spontaneity of eye opening Best motor response Best verbal command Coumadin [ Warfarin Sulfate] Maximum dose is not achieved until 3-4 days after starting the medication Effects continue for 4-5 days after discontinuing the medication Vitamin K is antidote t-PA treatment within 3 hours after the onset of a stroke have better outcomes
test_3_study_guide_genniel.docx