Parkinson's
What is the neurotransmitter that is deficit to cause Parkinson's?
What is dopamine?
What education will you give a person starting on a muscle relaxant?
What is don't drive until you know how it is going to affect your or work with heavy equipment/hazardous equipment. Avoid alcohol and CNS depressants (CNS depression may be intensified). Don't stop abruptly (if on long term) Taper over 1 week. Don't make important life-changing decision when taking. Causes drowsiness. Use cautiously when pregnant or nursing. Take with food to decrease GI upset
Which medication can you give to someone taking heroin, that is administered in federally licensed outpatient program?
What is methadone?
What are signs of malignant hyperthermia?
What is fever, muscle rigidity, profuse sweating, rapid heart rate (tachycardia), rapid shallow breathing (Sats going low), mottled skin
What do you monitor when giving a narcotic, such as morphine?
Why is carbidopa given with levodopa?
What is, it cuts the lose of levodopa so you don't have to has as much drug
Dantrolene relieves muscle spasticity by?
What is acting within the muscle tubules and releasing CA.
If a person does not want to disclose they have opioid use disorder, what medication would they use?
What is naltrexone? (urine drug test will be clear.)
What is the major side effects of narcotics?
What is drowsiness, confusion, constipation, slow breathing, nausea.
What are safety measures you put in place if a narcotic is being given?
What is put up side rails, instruct to call for help to get up (instruct family as well), make sure the bed is in low position, monitor pulse ox/respiratory rate, level of consciousness?
How do you tell if benztropine is affective when given to a Parkinson's patient?
What is less tremors and muscle rigidity?
What is the drug of choice for treatment of malignant hyperthermia?
What is Dentrolene?
What medication for opioid use disorder has to have DEA waiver and has fewer drug to drug interactions?
What is buprenorphine?
What is Narcotic abstinence syndrome?
What is what happens after giving naloxone, signs and symptoms hypertension, tachycardia, nausea, vomiting, tremors, sweating, restlessness, flushing and headache
What is the reversal agent for opioid?
What is naloxone?
What do you want to educate a patient on who is taking an anticholinergic medication?
What is use hard sugar free candies for dry mouth, push fluids, keep temperature control, don't go out in really hot temperatures, void prior to take medication (for urinary retention), constipation-stool softeners
What is Cyclobenzaprine used for?
What is
patient with muscle spasms caused by strains, sprains, and other muscle injuries
What would be contraindications for a patient to take methodone?
What is liver issues, if EKG has a prolongation of the QT, many drug to drug interactions (check medications)
What is a PCA pump (Patient-Controlled Analgesia)?
What is a pump that a patient is able to push a button to get medication for pain (Limits set by MD)?
What kind of pain do we use narcotics for?
What is acute pain? (should not be given for chronic pain)
What are the side effects of carbidopa/levodopa?
What is depression, involuntary movements, orthostatic hypotension, constipation and nausea and vomiting, tardive dyskinesia, confusion, etc
What patients would you give dantrolene to with caution due to hepatoxicity?
What is patients older 35 yrs: with increased risk liver damage, cardiac disease, women who are on estrogen as increased risk of liver damage
What is opioid use disorder?
What is a strong desire to use opioids, increased tolerance to opioids, difficulty fulfilling obligations, trouble reducing use, and withdrawal syndrome with stopping the opioid.
What narcotic agonist is used for pregnant patients?
What is oxycodone?
What do you do if more morphine (narcotic) is given then what is ordered, a medication error occurred?
What is: call MD, document event, have naloxone, monitor respirations, pulse ox, let pt and family know about incident (never hide it)