What are the life threatening issues with a myasthenic crisis? - Answers respiratory failure
What are the symptoms of a myasthenic crisis? - Answers severe, generalized muscle weakness
Why is it important that neostigmine be given on time? - Answers can cause muscle weakness
What are the symptoms of cholinergic crisis? - Answers Drooling, severe muscle weakness, facial
spasms, constricted pupils, bradycardia, vomiting
What causes a cholinergic crisis in patients with MG? - Answers anticholinergic drugs (too much
pyridostigmine bromide (Mestinon))
What medication treats a cholinergic crisis? - Answers Atripine
Moderate to severe MG - What med would we give? - Answers Glucocorticosteroids
Methylprednisolone (solumedrol)
When would we avoid glucocorticosteroids (solumedrol) - Answers MG crisis
What body system is effected by a MG crisis? - Answers Respiratory
· What are the characteristic symptoms of MS? - Answers severe weakness; severe fatigue, muscle
spasticity, diplopia, blurred vision, vertigo, tinnitus, nystagmus, ataxia, dysarthria, dysphagia
What do we give for an acute MS attack? - Answers solu-medrol
What do we give for MS remission/exacerbation? - Answers Interferon B
What muscle relaxer has a low incidence of dependence? - Answers Cyclobenzaprine (flexeril)
How long should muscle relaxers be taken for? - Answers 2-3 weeks; may need to be tapered off
What does methocarbamol (robaxin) do to urine? Is this harmful? - Answers Turns urine black, dark
green/blue. Normal reaction; give med.
Skelaxin (muscle relaxant) should not be given to what patients? - Answers drug and alcohol abusers
(addictive)
Which drugs are neuromuscular blockades? (drugs that induce paralysis). - Answers Succinylcholine
(peripherally acting), Pancuronium bromide, vecuronium bromide
What are the symptoms of acute dystonia? - Answers facial grimacing, involuntary upward eye
movements, muscle spasms of the tongue, face, neck, and back, laryngeal spasms
What should be used in addition to medication when treating anxiety? - Answers psychotherapy/
support groups