NUR 546 EXAM 1 with correct answers
Dantrolene Therapeutic use / MOA - ...,.🔹VERIFIED ANSWER
**✔✔Muscle relaxant (adverse effect: muscle weakness)
Think "lean" as muscles relax
Peripherally acting (think distal)
Used to treat malignant hyperthermia
Dante's Inferno
Dantrolene adverse effects - ...,.🔹VERIFIED ANSWER
**✔✔Adverse effects
3 D's
Drowsiness, Dizziness, Diarrhea
Avoid alcohol/CNS depressants
Can cause Liver toxicity
Dantrolene Administration & client education - ...,.🔹VERIFIED
ANSWER **✔✔Administered via IV push or PO
Dantrolene Contraindications/precautions/interactions
- ...,.🔹VERIFIED ANSWER **✔✔Caution CNS depressant meds,
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,alcohol and calcium channel blockers (can cause cardiac
dysrhythmias
Lidocaine Therapeutic use / MOA - ...,.🔹VERIFIED ANSWER
**✔✔Local anesthesia (can be topical)
Labor - used for epidural or spinal anesthesia
Blocks the influx of Na through Na channels preventing
depolarization
Lidocaine Adverse effects - ...,.🔹VERIFIED ANSWER
**✔✔Lightheadedness (can cause hypotension when used for
spinal anesth.)
Too much can cause CNS stimulation (lidocaine - sugar cane -
sugar rush)
Restlessness, irritability, tremors, confusion, convulsions
After CNS stimulation resolves, CNS depressant effects occur
causing risk for resp. Arrest
Lidocaine Administration & client education - ...,.🔹VERIFIED
ANSWER **✔✔Avoid administering in eyes or broken skin
Use correct concentration and form
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, Lidocaine Contraindications/precautions/Interactions
- ...,.🔹VERIFIED ANSWER **✔✔Clients with bradycardia, heart
block can experience cardiac arrest upon administration
Beta blockers, cimetidine and quinidine can increase blood levels of
lidocaine
Midazolam (Versed) Therapeutic use / MOA - ...,.🔹VERIFIED
ANSWER **✔✔General anesthetic/ benzo or sedative
Enhances inhibitory effects of GABA
Used to provide sedation and induce amnesia
Midazolam (Versed) Adverse effects - ...,.🔹VERIFIED ANSWER
**✔✔Can cause CNS depressant effects, anterograde amnesia
(memory loss), and cardiac/respiratory arrest
Midazolam (Versed) Administration & client education
- ...,.🔹VERIFIED ANSWER **✔✔IM, IV or PO
Give by IV bolus and titrate with additional doses for desired depth
of sedation
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Dantrolene Therapeutic use / MOA - ...,.🔹VERIFIED ANSWER
**✔✔Muscle relaxant (adverse effect: muscle weakness)
Think "lean" as muscles relax
Peripherally acting (think distal)
Used to treat malignant hyperthermia
Dante's Inferno
Dantrolene adverse effects - ...,.🔹VERIFIED ANSWER
**✔✔Adverse effects
3 D's
Drowsiness, Dizziness, Diarrhea
Avoid alcohol/CNS depressants
Can cause Liver toxicity
Dantrolene Administration & client education - ...,.🔹VERIFIED
ANSWER **✔✔Administered via IV push or PO
Dantrolene Contraindications/precautions/interactions
- ...,.🔹VERIFIED ANSWER **✔✔Caution CNS depressant meds,
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,alcohol and calcium channel blockers (can cause cardiac
dysrhythmias
Lidocaine Therapeutic use / MOA - ...,.🔹VERIFIED ANSWER
**✔✔Local anesthesia (can be topical)
Labor - used for epidural or spinal anesthesia
Blocks the influx of Na through Na channels preventing
depolarization
Lidocaine Adverse effects - ...,.🔹VERIFIED ANSWER
**✔✔Lightheadedness (can cause hypotension when used for
spinal anesth.)
Too much can cause CNS stimulation (lidocaine - sugar cane -
sugar rush)
Restlessness, irritability, tremors, confusion, convulsions
After CNS stimulation resolves, CNS depressant effects occur
causing risk for resp. Arrest
Lidocaine Administration & client education - ...,.🔹VERIFIED
ANSWER **✔✔Avoid administering in eyes or broken skin
Use correct concentration and form
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, Lidocaine Contraindications/precautions/Interactions
- ...,.🔹VERIFIED ANSWER **✔✔Clients with bradycardia, heart
block can experience cardiac arrest upon administration
Beta blockers, cimetidine and quinidine can increase blood levels of
lidocaine
Midazolam (Versed) Therapeutic use / MOA - ...,.🔹VERIFIED
ANSWER **✔✔General anesthetic/ benzo or sedative
Enhances inhibitory effects of GABA
Used to provide sedation and induce amnesia
Midazolam (Versed) Adverse effects - ...,.🔹VERIFIED ANSWER
**✔✔Can cause CNS depressant effects, anterograde amnesia
(memory loss), and cardiac/respiratory arrest
Midazolam (Versed) Administration & client education
- ...,.🔹VERIFIED ANSWER **✔✔IM, IV or PO
Give by IV bolus and titrate with additional doses for desired depth
of sedation
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