Slim Shakey
Neurotransmitter that when in excess causes tremors in patients with parkinsonism.
Acetylcholine
The 2 classes of drugs used to treat Thyroid disease
Thyroid replacement hormones & antithyroid agents.
Major muscle in respiration that is also paralyzed when using neuromuscular blockers.
Diaphragm
Chronic and recurrent seizures point to this disorder
Epilepsy
T/F: Neuromuscular blockers paralyze muscles and also relieve pain.
False. Neuromuscular blockers do not block pain.
Cerebral palsy, multiple sclerosis, muscular dystrophy, spinal cord injury, osteoarthritis, rickets, poliomyelitis, scoliosis, and stroke all have this in common.
Skeletal Muscle Disorders
A medication used to treat seizures that is used to block voltage-sensitive sodium and calcium channels in neuronal membranes.
Lamotrigine (Lamictal)
The reason why all symptoms in patients with Parkinson's cannot be eliminated.
Adverse side effects
What the thyroid gland secretes in response to TSH
T3 and T4
A symptom of respiratory depression causing bluish, purple discoloration of the skin, lips, mucous membranes, and nailbeds due to low levels of oxygen in the blood.
Cyanosis
The golden rule when you have a patient that is actively experiencing a seizure.
Do not leave the patient alone
Requirements before administering neuromuscular blocking agents to a patient.
Intubation and mechanical ventilation
Sudden alternating contractions and relaxations or sustained contractions of muscles.
Muscle Spasms
These nerve cells are deteriorated in patients with Parkinson's.
Dopaminergic Nerves
The symptoms of this disorder include nervousness, agitation, tremors, diarrhea, increased appetite, weight loss, exophthalmos, & increased temperature/pulse/BP.
Hyperthyroidism
This is increased with the use of neuromuscular blocking agents.
Secretions
T/F: Benzodiazepines reduce the inhibitory effects of GABA in the postsynaptic clefts between nerve cells in patients with seizures.
False. Benzodiazepines enhance the inhibitory effects of GABA.
A drug class that should not be used for muscle spasticity associated with spinal cord or cerebral disease because it can cause further impairment.
Centrally Acting Skeletal Muscle Relaxants
A complication of multiple sclerosis and cerebral palsy that includes hypertonicity and involuntary jerks.
Spasticity
This occurs when mobility has deteriorated causing the patient to have quickened and short steps. This can also lead to falls.
Propulsive uncontrolled movemen
The 3 treatments used for Hyperthyroidism.
Subtotal thyroidectomy, Radioactive Iodine, & antithyroid medications.
Equipment that should be nearby for patients taking neuromuscular blocking agents.
Suction, oxygen, mechanical ventilator, & resuscitation equipment.
DAILY DOUBLE
You have 30 seconds to write down your answer. Only the team that picked the DD can answer this question.
Must be administered by anesthesia provider or by critical care nurse while on ventilator
Neuromuscular Blocking Agents
Serious adverse effects of centrally acting skeletal muscle relaxants.
Hepatotoxicity & blood dyscrasias
Used as a last resort treatment when drug therapy does not work in patients with Parkinson’s.
Surgery
An adverse side effect of antithyroid agent propylthiouracil (PTU) that can be common and usually self-resolving.
Purposive Rash
Early signs of respiratory depression.
Restlessness, anxiety, lethargy, decreased alertness & headache
The goal of anticonvulsant therapy.
Reduce frequency of seizures, minimize adverse effects, & improve quality of life.
The mechanism of action of centrally acting skeletal muscle relaxants.
Unknown
The function of centrally acting skeletal muscle relaxants.
Treat acute muscle injuries associated with muscle spasms
The non-pharmacologic treatment of Parkinson's.
Education, nutrition, support services, & patient safety
The precautions that should be followed when handling Ionine-131.
Adding to water before swallowing, minimizing exposure (use rubbers), and following agency policy for disposal (radioactive waste).
These must be monitored up to 48 hours or more after administration of neuromuscular agents.
Observe respiratory function, Monitor VS & ABGs, watch for hypoxia/hypercapnia, ensure emergency equipment is nearby.
The 3 nonpharmacologic therapies for Seizures.
Surgery, Implantable vagus nerve stimulator, & Ketogenic diet.
Must be used in combination with centrally acting skeletal muscle relaxants.
Physical therapy, rest, & analgesics
A drug used to treat patients with cerebral palsy that are experiencing significant muscle contractions and still, involuntary muscle movements and spasticity.
Dantrolene (Dantrium)