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Family Nurse Practitioner Certification Intensive Review 5th Edition, Leik, 2023/
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Family Nurse Practitioner Certification Intensive Review 5th Edition, Leik, 2023 | Nurse Practitioner (NP) School Study Aid
Migraine Headache Treatments
- Acute Treatment
- Avoid Triggers
- Sumatriptan
- NSAIDs
- Preventative Treatment
- Beta Blockers
- Calcium Channel Blockers
- Amitriptyline
- Topiramate (Anticonvulsants)
1 min
Cluster Headache
- Presentation
- More Common in Men
- Unilateral Periorbital Headache
- Ipsilateral Tearing
- Precipitated by Alcohol
- Stabbing Pain
- Duration
- 15 min - 3 Hours
- Repetitive Attacks in Clusters
- Treatment
- High Flow 100% O2
- Ergots
- Sumatriptan
2 mins
Carbamazepine
- Indications
- First-line Seizure Medication
- First Line for Trigeminal Neuralgia
- Mechanism of Action
- Stabilizes Inactive State of Na+ Channels
- Side Effects
- Stevens-Johnson Syndrome
- Induce Cytochrome P450
- Teratogen
- Hepatotoxicity
- Blood Dyscrasias
2 mins
Phenytoin
- Indications
- Status Epilepticus
- Tonic-Clonic Seizures
- Mechanism of Action
- Blocks Na+ Channel Activation
- Inhibition of Glutamate Release
- Class IB Antiarrhythmic
- Side Effects
- Teratogenic
- Macrocytic Megaloblastic Anemia
- Induce Cytochrome P450
- Drug-induced Lupus
- Neuropathy
- Hirsutism
- Gingival Hyperplasia
1 min
Tricyclic Antidepressants (TCAs) Overview
- Mechanism of Action
- Blocks Serotonin and NE Reuptake
- Lipid-soluble
- Side Effects
- Adverse CNS Effects
- Anticholinergic
- Antihistamine
- Tri-C: Convulsion, Coma, Cardiotoxicity
- Blocks Alpha1 Receptors
2 mins
Nonselective Beta-Blockers
- "-olol" Suffix
- Nonselective
- Propranolol
- Timolol
- Nadolol
- Partial β Agonist
- Pindolol
- Nonselective β with α Blocking
- Carvedilol
- Labetalol
2 mins
Types of Seizures
- Tonic-Clonic
- Tonic
- Clonic
- Absence (Petit Mal)
- Myoclonic
- Atonic
- Partial (Focal) Seizure
- Focal Aware (Formerly Called Simple Partial)
- Focal Impaired Awareness (Formerly Called Complex Partial)
3 mins
Seizure Interventions
- Maintain Airway
- Side-lying Position
- Support Head
- Move to Floor
- Benzodiazepines
- Considerations
- Never Restrain
- No Objects in Mouth
- Document Details
2 mins
Seizure Precautions
- Reduce Environmental Stimuli
- Identify Triggers
- Aura
- Pad Side Rails
- Bed Lowest Position
- Oxygen and Suction Available
- Consideration
- Monitor Therapeutic Drug Levels
2 mins
Selective Serotonin Reuptake Inhibitor (SSRI) Overview
- Indications
- Depression
- Anxiety
- Mechanism of Action
- Selective Serotonin Reuptake Inhibitors
- Drugs
- Paroxetine
- Sertraline
- Escitalopram
- Fluoxetine
- Side Effects
- Sexual Dysfunction
- Serotonin Syndrome
- Treat with Cyproheptadine
2 mins
Serotonin Norepinephrine Reuptake Inhibitors (SNRIs)
- Indications
- Depression
- Diabetic Peripheral Neuropathy
- Duloxetine
- Panic and Anxiety
- Venlafaxine
- Mechanism of Action
- Inhibits Reuptake of Serotonin and NE
- Side Effects
- Hypertension
- Insomnia
- Nausea and Vomiting
- Decreased Libido
1 min
Types of Strokes
- Warning Signs
- Transient Ischemic Attack (TIA)
- Reversible Ischemic Neurologic Deficit (RIND)
- Types
- Ischemic
- Thrombotic
- Atherosclerosis
- Embolic
- Atrial Fibrillation
- Hemorrhagic
- Severe Hypertension
3 mins
CHA2DS2-VASc for Stroke Risk in Atrial Fibrillation
- CHF (+1)
- Hypertension (+1)
- Age 75 + (+2)
- Diabetes (+1)
- Stroke or TIA or Thromboembolism History (+2)
- Vascular Disease (+1)
- Age 65-75 Years (+1)
- Sex Female (+1)
- Interpretation
- 0 = No Anticoagulation
- 1 = Consider Anticoagulation
- 2 = Anticoagulation
3 mins
Vigabatrin and Tiagabine
- Mechanisms
- Increases GABA Concentration
- Inhibits GABA Degradation (Vigabatrin)
- Inhibits GABA Reuptake (Tiagabine)
- Indications
- Infantile Spasms
- Partial (Focal) Seizure
- Side Effects
- Permanent Visual Loss (Vigabatrin)
1 min
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