× Didn't find what you were looking for? Ask a question
Top Posters
Since Sunday
6
s
3
3
d
3
s
2
c
2
G
2
y
2
t
2
2
k
2
j
2
Home Q & A Board Biology-Related Homework Help Medicine Pharmacology (Moderator: DelightfulMind)
New Topic  
srueter srueter
wrote...
Posts: 334
Rep: 0 0
6 years ago
The nurse is caring for a patient who has myasthenia gravis (MG) and takes pyridostigmine bromide (Mestinon) 60 mg every 4 hours.
 
  The patient's last dose was 45 minutes prior. The nurse notes severe muscle weakness, excess salivation, fasciculations of facial muscles, and pupil constriction. The nurse will perform which action?
  a. Assess the patient for signs of ptosis.
  b. Notify the provider to discuss an order for intravenous immune globulin (IVIG).
  c. Obtain an order for atropine sulfate.
  d. Request an order for an extra dose of pyridostigmine.
Read 52 times
2 Replies

Related Topics

Replies
wrote...
#1
6 years ago
ANS: C
Severe muscle weakness, excess salivation, fasciculations of facial muscles, and pupil constriction are the major signs of cholinergic crisis, caused by excess pyridostigmine. The antidote is atropine, so the nurse should obtain an order to give this. Ptosis is sign of myasthenic crisis. IVIG is given to treat symptoms of MG and not used for cholinergic crisis. Giving extra pyridostigmine would increase the symptoms.
srueter Author
wrote...
#2
6 years ago
TYVM
New Topic      
Quick Reply
Explore
Post your homework questions and get free online help from our incredible volunteers
  976 People Browsing
Start New Topic Take the Tour CoursesNew Study Tools Topics Trending Browse by Textbook
Live Chat
Related Images
  
 287
  
 1352
  
 1119
Your Opinion
Who's your favorite biologist?
Votes: 587
Previous poll results: Which 'study break' activity do you find most distracting?