myasthenia gravis

Question 1

what is used to diagnose cholinergic crisis?

Answer 1

tensilon test (edrophonium)
negative tensilon test-make clients worst
positive tensilon test- make clients better

Question 2

what do you do for the tensilon test?

Answer 2

1. injected IV
2. atropine sulfate is antidote for overdose
3. to diagnose MG- most clients will see improvement in 30-60 sec and lasts 4-5 mins

Question 3

what are the important nursing interventions for MG?

Answer 3

1. take meds on time to maintain blood level
2. take with small amount of food.
3. eat meal within 45 min to 1hr after taking med to decrease risk of aspiration
4. have er rescuscitation equip/atrophine sulfate for cholingic crisis

Question 4

mg to improve muscle strenght and endurance

Answer 4

neostigmine

Question 5

you shoud instruct patient with neostigmine…

Answer 5

• teach patient how to take pulse and to notify the provider if the rate is below 60 bpm
• instruct patient to take drug with a small amount of food and to eat 45 min to hr after taking the drug,

Question 6

what is the goal for patients taking neostigmine?

Answer 6

control muscle weakness as much as possible.

Question 7

what are the contraindications of neostigmine? avoid giving to these patients

Answer 7

mechanical obstruction of the bowel or urinary tract.

Question 8

ati question number 1 on page 164

Answer 8

lookie

Question 9

if the patient gets too much neostigmine what will be the sign and symptoms?

Answer 9

increased intestinal motility
increased salivation
bradycardia
muscle weakness and respiratory paralysis (cholinergic crisis or myasthenia crisis)

Question 10

drug to use to counteract neostigmine?

Answer 10

atropine!