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NUR 546 EXAM 1 QUESTIONS AND 100% CORRECT ANSWERS
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NUR 546 EXAM 1 QUESTIONS AND 100% CORRECT ANSWERS...
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NUR 546 EXAM 1 QUESTIONS AND 100% CORRECT ANSWERSDantrolene Therapeutic use / MOA - ANSWER Muscle relaxant (adverse effect: muscle
weakness)
Think "lean" as muscles relax
Peripherally acting (think distal)
Used to treat malignant hyperthermia
Dante's Inferno
Dantrolene adverse effects - ANSWER Adverse effects
3 D's
Drowsiness, Dizziness, Diarrhea
Avoid alcohol/CNS depressants
Can cause Liver toxicity
Dantrolene Administration & client education - ANSWER Administered via IV push or PO
Dantrolene Contraindications/precautions/interactions - ANSWER Caution CNS
depressant meds, alcohol and calcium channel blockers (can cause cardiac
dysrhythmias
Lidocaine Therapeutic use / MOA - ANSWER Local anesthesia can be topical
Labor- used for epidural or spinal anesthesia
Blocks the influx of Na through Na channels preventing depolarization
Lidocaine Adverse effects - ANSWER Lightheadedness can cause hypotension when
used for spinal anesth.
, Too much can cause CNS stimulation lidocaine - sugar cane - sugar rush
Restlessness, irritability, tremors, confusion, convulsions
After CNS stimulation resolves, CNS depressant effects occur causing risk for resp.
Arrest
Lidocaine Administration & client education-ANSWER Avoid administration in eyes or
broken skin
Use appropriate concentration and form
Lidocaine Contraindications/precautions/Interactions-ANSWER Clients with
bradycardia, heart block can experience cardiac arrest upon administration
Beta blockers, cimetidine and quinidine can increase blood levels of lidocaine
Midazolam (Versed) Therapeutic use / MOA-ANSWER General anesthetic/ benzo or
sedative
Prolongs inhibitory effects of GABA
Used to provide sedation and induce amnesia
Midazolam (Versed) Adverse effects - ANSWER Can cause CNS depressant effects,
anterograde amnesia (memory loss), and cardiac/respiratory arrest
Midazolam (Versed) Administration & client education - ANSWER IM, IV or PO
Give by IV bolus and titrate with additional doses for desired depth of sedation
Midazolam (Versed) Contraindications/precautions/interactions - ANSWER Caution
those with neuromuscular, cardiac, pulmonary or renal disorders
Pregnancy/delivery/lactation
Enhances CNS depressant effect of other CNS depressants
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