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Med Surg 3 Exam 1

Terms in this set (21)

Headache is also called Cephalgia. True or False?
True
What are the two phases of a migraine?
A: Vasoconstriction, Vasodilation
What are the two main types of seizures?
A: Idiopathic and acquired
Foods high in tyramine and nitrates include: Red wine, beer, other ETOH, aged cheese, other dairy products, chocolate, beans, MSG.
...
Can stress, depression, some food and drink, weather changes, and fatigue be triggers for migraines?
A: Yes
What types of drug is the first line prevention of migraines?
A) Benzodiazepines
B) Beta-Blockers
C) ACE inhibitors
D) Calcium channel blockers
B) Beta-Blockers
Which drug would be given to stop an active headache?
A) Lorazepam
B) Sumatriptan
C) NSAID
D) Mannitol
B) Sumatriptan
Though Sumatriptan stops active headaches, does it also prevent them from happening?
A: No
Horton's disease or Horton's headache is another name for what?
A: Cluster headaches
Levetiracetam does which?
A: Decreases the incidence and severity of seizures
B: Stops an active seizure
A: Decreased the incidence and severity of seizures
Lorazepam is an addictive drug, what age group is most at risk for addiction?
A) 10-15 yo
B) 20-30 yo
C) 45-80 yo
D) 50-90 yo
C) 45-80 yo
Which drug can reverse an overdose of lorazepam?
A) Naloxone
B) Flumazenil
C) Vitamin K1
B) Flumazenil

However in Pt.s who have seizures, this antidote could cause one.
Which type of tumor is normally benign?
A) Meningioma
B) Gliomas
A) Meningioma
What is the therapeutic level for Phenytoin?
A) 10-20 mcg/ml
B) 20-30 mcg/ml
C) 30-40 mcg/ml
A) 10-20 mcg/ml
With Phenytoin what is an important nursing intervention?
A) Mouth care, using a soft toothbrush to prevent gingivitis.
B) Liver function tests
C) Trendelenburg position
A) Mouth care, using a soft toothbrush to prevent gingivitis.
Some SE of Phenytoin: Suicidal thoughts, ataxia, agitation, confusion, cardiac arrest, hypotension, hematological issues and others.
...
Which drug should have a test dose before being given if the Pt. has marked oliguria or impaired renal function?
A) Lorazepam
B) Mannitol
C) Levetiracetam
D) Sumatriptan
B) Mannitol
It can treat migraine headaches, but does not prevent them
A) Sumatriptan
B) Lorazepam
C) Mannitol
A) Sumatriptan
Only give 2 doses of Sumatriptan in a 24hr period. PO give ______ initially, if after 2hr the response is not adequate then up to 100mg may be given.
A) 15mg
B) 25mg
C) 35mg
B) 25mg
Decreased incidence of seizures, decreased postherpetic pain, decreased leg restlessness. Off-label: Neuropathic pain, prevention of migraine headaches, bipolar disorder, anxiety, diabetic peripheral neuropathy.
A) Lorazepam
B) Levetiracetam
C) Gabapentin
C) Gabapentin
PO, IV, pt.s 16 yo or older, 500mg twice daily initially, may increase by 1000mg/day at 2 wk intervals up to 3000 mg/day in two divided doses.
A) Levetiracetam
B) Lorazepam
A) Levetiracetam
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