Ch 8 Skeletal muscle relaxants Flashcards

1
Q

Type of tissue for skeletal m.

A

Striated muscle tissue

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2
Q

Muscle fibers contract in response to ___, released at the neuromuscular junction

A

Acetylcholine

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3
Q

5 steps of the neuromuscular junction

A
  1. presynaptic terminal
  2. sarcolemma
  3. synaptic vesicle
  4. nicotinic acetylcholine receptor
  5. mitochondria
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4
Q

When drug or toxin acts directly on some part of the neuromuscular junction

A

Peripheral action

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5
Q

When drug or toxin acts on the CNS to suppress the action potentials that connect to the presynaptic terminal

A

Central action

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6
Q

Small molecule produced by a pathogen, it is poisonous

A

Toxin

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7
Q

What is the peripheral action of botulism toxin?

A

Inhibit the release of synaptic vesicle which prevents activity of the nicotinic acetylcholine receptor

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8
Q

Botulism toxin is _____. A person infected is said to have ____

A

anti-cholinergic
botulism

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9
Q

Couple of symptoms of botulism

A

dry mouth and throat
decreased production of saliva
postural hypotension
decreased peristalsis and constipation
decreased respiratory contractions
trouble breathing
can be fatal due to paralysis/coma

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10
Q

What is the name of the Botulism toxin that is highly diluted?

A

BoTox

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11
Q

What is the use of BoTox

A

Neuromuscular diseases such as cerebral palsy, multiple sclerosis
Disorders like facial twitching, dystonia, excessive sweating, chronic migraine

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12
Q

Example of peripheral action drug

A

Botulism toxin

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13
Q

Example of centrally acting drug

A

benzodiazepines

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14
Q

Benzodiazepines acts as a ___ for an inhibitor, meaning ____

A

agonist, meaning it will suppress brain functions

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15
Q

Use of benzodiazepines

A

Treat muscle spasm
Disorders with muscle spasm
Convulsions

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16
Q

What are the side effects of central suppression?

A

Drowsiness
Dizziness
Blurred vision
Sedation
Depression
Rarely coma (death)
Constipation
Pupil dilation
Small increase in HR
Urinary problems
Contraindicated with alcohol
Increased intraocular pressure, do not combine with glaucoma

17
Q

Name the drugs that can be contraindicated with peripheral or central acting drugs

A

Anti-histamines
Opioid analgesics
Many psychiatric drugs
Atropine in medical procedures or motion sickness products

18
Q

Name the products that are okay tu use if approved in pharmacy

A

Aspirin
Codeine
Acetaminophen
Caffeine

19
Q

Non-drug options to treat muscle spasms and pain

A

Cryotherapy
Moist heat
Massage
Stretching

20
Q
A