Chapter 12: Muscle Relaxants Quiz
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Questions and Answers

What is the antidote for benzodiazepine overdose?

  • Nalmefene (Revex)
  • Naloxone (Narcan)
  • Flumazenil (Romazicon) (correct)
  • Naltrexone (ReVia)
  • What potential adverse effect should the nurse monitor for in an older adult patient prescribed benzodiazepines?

  • Unsteady gait (correct)
  • Red rash
  • Shortness of breath
  • Muscle spasms
  • What is an appropriate nursing diagnosis for a patient who has just been administered a sedative-hypnotic drug?

  • Risk for injury and falls (correct)
  • Risk for infection
  • Deficient knowledge
  • Imbalanced nutrition
  • What will the nurse anticipate prescribing for a patient who has overdosed on a barbiturate?

    <p>Charcoal (Activated charcoal)</p> Signup and view all the answers

    How should the difference between sedative and hypnotic drugs be explained?

    <p>Most drugs produce sedation at low doses and sleep, the hypnotic effect, at higher doses.</p> Signup and view all the answers

    What condition might a patient experience if administered dantrolene (Dantrium) after surgery?

    <p>Malignant hyperthermia</p> Signup and view all the answers

    What is one of the most common adverse effects of midazolam (Versed)?

    <p>Amnesia</p> Signup and view all the answers

    Study Notes

    Benzodiazepine Overdose

    • Flumazenil (Romazicon) is the antidote for benzodiazepine overdose, unlike naloxone, naltrexone, and nalmefene which are effective against opioids.

    Dosing in Special Populations

    • For children and older adults, benzodiazepine doses should be small with gradual increases to reduce the risk of ataxia (unsteady gait) and excessive sedation.

    Nursing Considerations Post-Sedative Administration

    • Patients administered sedative-hypnotic drugs are at risk for injury and falls due to central nervous system depression.

    Barbiturate Overdose Management

    • There is no specific antidote for barbiturate overdose; activated charcoal can be used to bind the drug in the gastrointestinal tract, preventing further absorption.

    Sedative vs. Hypnotic Properties

    • Many drugs possess both sedative and hypnotic effects; sedative properties are evident at low doses while hypnotic effects occur at higher doses.

    Dantrolene and Malignant Hyperthermia

    • Dantrolene is a direct-acting skeletal muscle relaxant used to treat malignant hyperthermia, a potential complication of anesthesia.

    Versed (Midazolam) Effects

    • Midazolam (Versed) causes amnesia and anxiolysis in addition to sedation, commonly used preoperatively; a notable adverse effect is amnesia, especially after intravenous administration.

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    Description

    Test your knowledge on muscle relaxants and antidotes with this quiz. Focus on benzodiazepine overdose and the appropriate treatments. Ideal for nursing and medical students looking to review essential pharmacology concepts.

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