BSN 315 EXAM ACTUAL QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED
Phenytoin
Anticonvulsant
therapeutic range for phenytoin
10-20
Would you give benzo for a seizure?
Yes (-lam/-pam)
Levetiracetam
Given post op as a seizure precaution
Main med for myasthenia gravis
Cholinergics (-stigmine)
Niostigmine
Pyridostigmine
Why would you give cholinergics for myesthenia gravis?
Improves muscle tone and movement
Name cholinergic meds for myasthenia gravis
What are adverse effects?
(-stigmine)
Puridostigmine / neostigmine
Cholinergic crisis = ⬆️
secretions
,⬆️
tears ⬆️
pee ⬆️
spit ⬆️
shit
Antidote- atropine
What is sumatriptan or ergotamine used for?
Contraindications?
Migraines
Contraindications: CAD, uncontrolled HTN
*pale extremities = ⬇️
blood flow
Contraindications of using Sumatriptan and Ergotamine
CAD, uncontrolled HTN
Pale extremities= ⬇️
blood flow
Parkinson's
⬇️
dopamine
Adverse effects of Carbadoba/Levadopa
Hallucinations
Orthostatic hypotension
Should patients have protein with carbadoba/levadopa?
No, it blocks absorption
Sign of toxicity in carbadoba/levadoba regimen?
Dyskinesia
Should red/orange urine be reported when taking carbadoba/levadoba?
No, it's an expected side effect
, Can a patient take selegeline (MAOI) with carbadoba/levadoba?
Yes, taken in conjunction ⬆️
efficacy
What class does benzotropine and atropine belong to?
Anticholinergics
What is anti cholinergic effect?
Turns off PNS, turns on sight or flight = DRIES YOU UP
⬇️
tears ⬇️
saliva ⬇️
pee ⬇️
poop
Why would a Parkinson's patient take anti cholinergic?
Used to treat tremors
Contraindications in the use of anti cholinergics
Not for patients with glaucoma, bowel obstruction, BPH, pt with fluid retention
What is Succinycholine?
A neuromuscular agent, commonly used for intubation.
Does not sedate.
What is given with succinylcholine?
A benzo (-Pam/-lam)
Adverse effect of succinylcholine?
Malignant hyperthermia
S/s muscle rigidity
High fever
Priority actions for treating malignant hyperthermia
Notify HCP
Prepare dentraline
COMPLETE SOLUTIONS VERIFIED
Phenytoin
Anticonvulsant
therapeutic range for phenytoin
10-20
Would you give benzo for a seizure?
Yes (-lam/-pam)
Levetiracetam
Given post op as a seizure precaution
Main med for myasthenia gravis
Cholinergics (-stigmine)
Niostigmine
Pyridostigmine
Why would you give cholinergics for myesthenia gravis?
Improves muscle tone and movement
Name cholinergic meds for myasthenia gravis
What are adverse effects?
(-stigmine)
Puridostigmine / neostigmine
Cholinergic crisis = ⬆️
secretions
,⬆️
tears ⬆️
pee ⬆️
spit ⬆️
shit
Antidote- atropine
What is sumatriptan or ergotamine used for?
Contraindications?
Migraines
Contraindications: CAD, uncontrolled HTN
*pale extremities = ⬇️
blood flow
Contraindications of using Sumatriptan and Ergotamine
CAD, uncontrolled HTN
Pale extremities= ⬇️
blood flow
Parkinson's
⬇️
dopamine
Adverse effects of Carbadoba/Levadopa
Hallucinations
Orthostatic hypotension
Should patients have protein with carbadoba/levadopa?
No, it blocks absorption
Sign of toxicity in carbadoba/levadoba regimen?
Dyskinesia
Should red/orange urine be reported when taking carbadoba/levadoba?
No, it's an expected side effect
, Can a patient take selegeline (MAOI) with carbadoba/levadoba?
Yes, taken in conjunction ⬆️
efficacy
What class does benzotropine and atropine belong to?
Anticholinergics
What is anti cholinergic effect?
Turns off PNS, turns on sight or flight = DRIES YOU UP
⬇️
tears ⬇️
saliva ⬇️
pee ⬇️
poop
Why would a Parkinson's patient take anti cholinergic?
Used to treat tremors
Contraindications in the use of anti cholinergics
Not for patients with glaucoma, bowel obstruction, BPH, pt with fluid retention
What is Succinycholine?
A neuromuscular agent, commonly used for intubation.
Does not sedate.
What is given with succinylcholine?
A benzo (-Pam/-lam)
Adverse effect of succinylcholine?
Malignant hyperthermia
S/s muscle rigidity
High fever
Priority actions for treating malignant hyperthermia
Notify HCP
Prepare dentraline
