Neurological Medications Exam Questions & Answers

Neurological Medications Exam Questions & Answers 611. A client with Myasthenia Gravis is suspected of having cholinergic Crisis. Which of the following indicate that this crisis exists? - Answer: 4--- Hypertension Rationale: Cholinergic crisis occurs as a result of an overdose of medication. Indication of cholinergic crisis include gastrointestinal disturbance, nausea, vomiting, diarrhea, abdominal cramps, increased salivation and tearing, mitosis, hypertension, sweating and increased bronchial secretion Myasthenia Gravis - Myasthenia gravis (my-us-THEE-nee-uh GRAY-vis) is characterized by weakness and rapid fatigue of any of the muscles under your voluntary control. Myasthenia gravis is caused by a breakdown in the normal communication between nerves and muscles. There is no cure for myasthenia gravis, but treatment can help relieve signs and symptoms, such as weakness of arm or leg muscles, double vision, drooping eyelids, and difficulties with speech, chewing, swallowing and breathing. Cholinergic Crisis - a pronounced muscular weakness and respiratory paralysis caused by excessive acetylcholine, often apparent in patients suffering from myasthenia gravis as a result of overmedication with anticholinesterase drugs. 612. A client with myasthenia gravis is receiving pyridostigmine (Mestinon). The nurse monitors for sign and symptoms of cholinergic crisis caused by overdose of the medication supply to ensure that which medication is available for administration if a cholinergic crisis occurs - Answer: 2---Atropine Sulfate Rationale: The antidote for cholinergic crisis is atropine sulfate. Atropine Sulfate - Antidote for Cholinergic Crisis Protamine Sulfate - Antidote for HEPARIN Acetylcysteine (Mucomyst) - Antidote for Acetaminophen (Tylenol) pyridostigmine (Mestinon) - Mestinon (pyridostigmine) is a cholinesterase inhibitor used to treat the symptoms of myasthenia gravis