Musculoskeletal and ANS Flashcards

1
Q

competitive neuromuscular blocking agents mimic the action of acetylcholine

A

falst

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2
Q

methocarbamol may turn urine

A

brown, black or green

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3
Q

antidotal drugs such as neostigmine can only reverse the action of

A

competitive neuromuscular blocking agents

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4
Q

centrally acting skeletal muscle relaxants are useful in treating

A

chronic disorders characterized by involuntary motor activity

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5
Q

anticholinergic drugs cause relaxation of the smooth muscle in the bronchi

A

True

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6
Q

antispasmodics should not be administered to clients with narrow angle glaucoma

A

True

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7
Q

neuromuscular agents are used for

A

facilitate surgery by reducing muscle movement, facilitate ECT by reducing muscle movement, prevent muscle spasm of the larynx in clients who require endotracheal intubation

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8
Q

neuromuscular blocking agents

A

the use of quinidine and similar antiarrhythmic agents is avoided in clients who have recently received neuromuscular blocking agents, all neuromuscular blocking agents are capable of causing respiratory paralysis, neuromuscular blocking agents are not useful fr treating muscle rigidity of neurological disease or trauma

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9
Q

adverse hepatic effects associated with use of dantrolene are most likely to occur

A

3-12 months after initiating therapy

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10
Q

the most common reason for use of neuromuscular blockade is

A

facilitate intubation and mechanical ventilation

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11
Q

which should be given with be used with great caution in a client given neuromuscular blocking agent

A

gentamicin

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12
Q

what drug directly relaxes skeletal muscle

A

dantrolene

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13
Q

neuromuscular blocking agents are usually administerd

A

IV

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14
Q

centrally acting skeletal muscle relaxants most often produce

A

drowsiness and sedation

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15
Q

dantrolene may be administered preoperatively to

A

prevent development of malignant hyperthermia

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16
Q

antidotal drugs for neuromuscular blocking agents includde

A

neostigmine

17
Q

what is a drug that causes photosensitivity

A

pancuronium bromide

18
Q

frequently used in treating muscle spasm in MS and cerebral palsy

A

dantrolene

19
Q

client diagnosed with MG would likely use

A

neostigmine or edrophonium

20
Q

common adverse SE of drugs like pyridostigmine include

A

excessive salivation, diarrhea, bradycardia

21
Q

alpha 1 adrenergic receptors are primarily found

A

peripheral blood vessels

22
Q

which receptors are believed to control neurotransmitter release in the ANS

A

alpha 2

23
Q

cardiac function can best be altered by stimulating which receptors

A

beta 1

24
Q

asthma receptors can be stimulated by

A

beta 2

25
Q

sympathomimetic drugs are sometimes referred to

A

adrenergic

26
Q

administration of sympathomimetic drugs to a client is likely to result in

A

mydriasis

27
Q

administration of cholinergic agent such as neostigmine is likley to result in

A

lacrimation

28
Q

which is commonly given preop to decrease risk of aspiration and emesis

A

glycopyrrolate

29
Q

what would you do to administer tincture of belladonna

A

give in applesauce or juice

30
Q

most agents that have antispasmodic activity act by

A

antagonizing the action of acetycholine

31
Q

which antispasmodic is used for urinary tract spasm

A

oxybutynin

32
Q

what SE are associated with atropine

A

decreased GI motility, reduction of saliva, reduction of bronchial secretions

33
Q

transdermal for N/V

A

scopolamine

34
Q

antispasmatics that are belladonna derivatives are contraindicated in clients with

A

renal disease, prostatic hypertrophy, narrow angle glaucoma

35
Q

common adverse effect of alpha adrenergic blockers

A

hypotension

36
Q

anticholinergic agents are contraindicated for use as preoperative meds for clients undergoing heart surgery due to

A

tachycardia