Click “Check answer” or click inside the card to see the answer to each card.
Click “Mark for review”, and that card will go to the bottom of the stack so you can practice it again.
Click “Next card” to proceed.
 Click “Shuffle” to show any random card from deck.

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Musculoskeletal and sleep

[q] Succinylcholine

[a] Neuromuscular blocking agents block acetylcholine- resulting in muscle relaxation and hypotension

[q] Succinylcholine adverse effect

[a] Respiratory arrest, Hypotension, malignant hyperthermia, Hyperkalemia

[q] Centrally acting muscle relaxants

[a] Diazepam, Baclofen, Cyclobenzaprine, Tizanidine

[q] Peripherally acting muscle relaxants

[a] Dantrolene

[q] Diazepam, cyclobenzaprine, tizanidine side effect

[a] CNS depression, Hepatic toxicity, dependence

[q] Baclofen side effect

[a] CNS depression, Nausea, constipation, urinary retention (increase intake of high-fiber foods, I/O)

[q] Dantrolene side effect

[a] Hepatic toxicity, Muscle weakness

[q] Oxybutynin

[a] Prevents contractions of the bladder and the urge to void

[q] Oxybutynin side effect

[a] Anticholinergic effects (constipation, dry mouth, blurred vision,photophobia, dry eyes) – increase dietary fiber, consume 2 to 3 L/day of fluid from beverage and food sources, sip fluids, and avoid , sip fluids, and avoid hazardous activities if vision is impaired) › CNS effects (hallucinations confusion, insomnia, nervousness)

[q] Oxybutynin interaction

[a] Contraindicated in clients who have glaucoma, myasthenia gravis, paralytic ileus, GI or GU obstruction, or urinary retention.

[q] Zolpidem, Zaleplon, Eszopiclone, Trazodone

[a] Sleep medication – management of insomnia- Daytime sleepiness and lightheadedness may occur – take med at bedtime

[q] Ramelteon

[a] Melatonin Agonist – activate melatonin- help with sleep

[q] Ramelteon Side Effect

[a] Sleepiness, dizziness, fatigue, Hormonal effects (amenorrhea, decreased libido, infertility, galactorrhea)

[q] Ramelteon and food

[a] High-fat meals and grapefruit juice increase absorption. Take medication on an empty stomach.

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