Myasthenia Gravis

Question 1

Signs/symptoms of Myasthenia gravis

Answer 1

double vision (diplopia), drooping of eyelids (ptosis), difficulty swallowing, skeletal muscle weakness

Question 2

Medication options for Myasthenia Gravis

Answer 2

cholinesterase inhibitors: neostigmine and pyridostigmine

Question 3

What are the two “-stigmine” to give for myasthenia gravis?

Answer 3

Neostigmine
Pyridostigmine

Question 4

MOA for cholinesterase inhibitors

Answer 4

Blocks the cholinesterase enzyme which increases acetylcholine levels

Question 5

What is Myasthenia gravis

Answer 5

an autoimmune disorder marked by muscle weakness due to acetylcholine receptors being attacked by own body

Question 6

What is a client experiencing if they have extreme muscle weakness and stop breathing

Answer 6

Myasthenic crisis

Question 7

Suffix for myasthenia cholinesterase inhibitors

Answer 7

“stigmine”

Question 8

symptoms of Cholinergic Crisis

Answer 8

SLUDGE and killer B’s
salivation, lacrimation (excessive tearing), urination, diaphoresis/diarrhea, gastrointestinal cramping, emesis
bradycardia, bronchospasm, bronchorrhea

Question 9

Antidote for cholinergic crisis

Answer 9

atropine

Question 10

what do you need to assess anytime you give a PO medication for someone who has myathenia gravis

Answer 10

assess their swallowing ability by asking them to take sips of water

Question 11

what are the symptoms of under medication for someone who has myasthenia gravis?

Answer 11

ptosis and difficulty swallowing

Question 12

what are the symptoms of over medication for someone who has myasthenia gravis?

Answer 12

excessive salivation