BSN 315 WITH COMPLETE SOLUTIONS 100% ACCURATE
Phenytoin - ANSWER Anticonvulsant
therapeutic range for phenytoin - ANSWER 10-20
Would you give benzo for a seizure? - ANSWER Yes (-lam/-pam)
Levetiracetam - ANSWER Given post op as a seizure precaution
Main med for myasthenia gravis - ANSWER Cholinergics (-stigmine)
Niostigmine
Pyridostigmine
Why would you give cholinergics for myesthenia gravis? - ANSWER Improves muscle
tone and movement
Name cholinergic meds for myasthenia gravis
What are side effects? - ANSWER (-stigmine)
Puridostigmine / neostigmine
Cholinergic crisis = secretions
tears pee spit shit
Antidote- atropine
,What is sumatriptan or ergotamine used for?
Contraindications? - ANSWER Migraines
Contraindications: CAD, uncontrolled HTN
*pale extremities = blood flow
Contraindications of using Sumatriptan and Ergotamine - ANSWER CAD, uncontrolled
HTN
Pale extremities= blood flow
Parkinson's - ANSWER dopamine
Adverse effects of Carbadoba/Levadopa - ANSWER Hallucinations
Orthostatic hypotension
Should patients have protein with carbadoba/levadopa? - ANSWER No, it blocks
absorption
Sign of toxicity in carbadoba/levadoba regimen? - ANSWER Dyskinesia
Should red/orange urine be reported when taking carbadoba/levadoba? - ANSWER No,
it's an expected side effect
Can a patient take selegeline (MAOI) with carbadoba/levadoba? - ANSWER Yes, taken
in conjunction efficacy
What class does benzotropine and atropine belong to? - ANSWER Anticholinergics
, Anti cholinergic effect - ANSWER Turns off PNS, turns on sight or flight = DRIES YOU
UP
tears saliva pee poop
Why would a Parkinson's patient take anti cholinergic? - ANSWER Used to treat
tremors
Contraindications in the use of anti cholinergics - ANSWER Not for patients with
glaucoma, bowel obstruction, BPH, pt with fluid retention
What is Succinycholine? - ANSWER A neuromuscular agent, commonly used for
intubation.
Does not sedate.
What is given with succinylcholine? - ANSWER A benzo (-Pam/-lam)
Adverse effect of succinylcholine? - ANSWER Malignant hyperthermia
S/s muscle rigidity
High fever
Priority actions for treating malignant hyperthermia - ANSWER Notify HCP
Prepare dentraline
How can malignant hyperthermia be prevented? - ANSWER Preadmission: inquire
alcohol use, prior drug reaction, any blood relative with anesthesia reaction?
Alzheimers disease (AD) - ANSWER No cure
Amyloid plaques
Neurofibrillary tangles
Phenytoin - ANSWER Anticonvulsant
therapeutic range for phenytoin - ANSWER 10-20
Would you give benzo for a seizure? - ANSWER Yes (-lam/-pam)
Levetiracetam - ANSWER Given post op as a seizure precaution
Main med for myasthenia gravis - ANSWER Cholinergics (-stigmine)
Niostigmine
Pyridostigmine
Why would you give cholinergics for myesthenia gravis? - ANSWER Improves muscle
tone and movement
Name cholinergic meds for myasthenia gravis
What are side effects? - ANSWER (-stigmine)
Puridostigmine / neostigmine
Cholinergic crisis = secretions
tears pee spit shit
Antidote- atropine
,What is sumatriptan or ergotamine used for?
Contraindications? - ANSWER Migraines
Contraindications: CAD, uncontrolled HTN
*pale extremities = blood flow
Contraindications of using Sumatriptan and Ergotamine - ANSWER CAD, uncontrolled
HTN
Pale extremities= blood flow
Parkinson's - ANSWER dopamine
Adverse effects of Carbadoba/Levadopa - ANSWER Hallucinations
Orthostatic hypotension
Should patients have protein with carbadoba/levadopa? - ANSWER No, it blocks
absorption
Sign of toxicity in carbadoba/levadoba regimen? - ANSWER Dyskinesia
Should red/orange urine be reported when taking carbadoba/levadoba? - ANSWER No,
it's an expected side effect
Can a patient take selegeline (MAOI) with carbadoba/levadoba? - ANSWER Yes, taken
in conjunction efficacy
What class does benzotropine and atropine belong to? - ANSWER Anticholinergics
, Anti cholinergic effect - ANSWER Turns off PNS, turns on sight or flight = DRIES YOU
UP
tears saliva pee poop
Why would a Parkinson's patient take anti cholinergic? - ANSWER Used to treat
tremors
Contraindications in the use of anti cholinergics - ANSWER Not for patients with
glaucoma, bowel obstruction, BPH, pt with fluid retention
What is Succinycholine? - ANSWER A neuromuscular agent, commonly used for
intubation.
Does not sedate.
What is given with succinylcholine? - ANSWER A benzo (-Pam/-lam)
Adverse effect of succinylcholine? - ANSWER Malignant hyperthermia
S/s muscle rigidity
High fever
Priority actions for treating malignant hyperthermia - ANSWER Notify HCP
Prepare dentraline
How can malignant hyperthermia be prevented? - ANSWER Preadmission: inquire
alcohol use, prior drug reaction, any blood relative with anesthesia reaction?
Alzheimers disease (AD) - ANSWER No cure
Amyloid plaques
Neurofibrillary tangles
