1538 FINAL EXAM COMPREHENSIVE
REVIEW QUESTIONS WITH CORRECT
ANSWERS
Common drugs used for Generalized Tonic/Clonic and focal seizures - Answer-
Tegretol, Vimpat, Gabapentin, Primidone, Depakote, Lamictal, Keppra, Dilantin, Lyrica,
Topamax, Valporic Acid,
Common drugs for absent and myonic seizures - Answer-Klonopin, Depakote, Zarontin,
Zonegran
Which seizure medication do you not take with grapefruit? - Answer-Tegretol
What meds are given during a status of epilepticus? How? - Answer-IV. Rapid acting
antiseizure medication. Ativan (lorazepam), diazepam (Valium). Since they are short
acting, they followed by long acting like Dilantin and phenobarbital
Side effects of antiseizure medications - Answer-Diplopia, drowsiness, ataxia and
mental slowness
What do you test for the in the neurologic assessment for antiseizure medication side
effects? - Answer-Testing the eyes for nystagmus, hand and gait coordination, cognitive
functioning and general alertness
What is a common side effect of phenytoin (Dilantin) - Answer-Gingival hyperplasia
(excessive growth of gingival tissue) and hirsutism
What are the 3 essential volume components in the skull? - Answer-Brain tissue, blood,
and cerebrospinal fluid
Primary injury - Answer-Occurs at initial time of an injury (Impact of a car accident, blunt
trauma) that results in displacement, bruising of damage of the three components.
Secondary injury - Answer-The resulting hypoxia, ischemia, hypotension, edema, or
increased ICP that follows primary injury. Can occur several hours to days after the
initial injury is a PRIMARY CONCERN.
Intracranial pressure - Answer-Hydrostatic force measured in the brain CSP
compartment. Most important vital sign in the ICU.
Factors that influence ICP under NORMAL circumstances - Answer-Changes in arterial
pressure; venous pressure; intraabdominal and intrathoracic pressure; posture;
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