NUR 265 Advanced Concepts of Medical–Surgical Nursing
Exam 3
Question:
What is cholinergic crisis?
Answer:
too much cholinesterase inhibitor drug
Question:
What are s/s of cholinergic crisis?
Answer:
fasciculations hypersalivation sweating bronchospasms increase bronchial secretions bradycardia
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Question:
What is tx for cholinergic crisis?
Answer:
atropine
DO NOT GIVE ANTICHOLINESTERASE
Question:
What is myasthenic crisis?
Answer:
too little cholinesterase inhibitor drug
Question:
What is the priority with myasthenic crisis?
Answer:
resp function
Question:
What are s/s of myasthenic crisis?
Answer:
increase HR, RR, BP decrease u/o 2 / 4
no cough or swallow reflex dry
Question:
What time should ChE inhibitor be given?
Answer:
45-1hr before meals to avoid aspiration
Question:
What can tensilon test cause?
Answer:
cardiac dysrhythmias, have atropine on hand
Question:
What is nursing priority with myasthenic crisis?
Answer:
maintain airway, may require to intubate
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Question:
What is Guillain-Barre?
Answer:
an uncommon acute inflammatory disorder that affects axons and/or myelin sheath (neurons can't impulse)
Question:
where does Guillain Barre Syndrome start
Answer:
-Starts in feet and hands (numbness, tingling)
Question:
What are causes of Guillain Barre?
Answer:
bacterial infection influenza epstein barr zika
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