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While reviewing a client's chart, the nurse notices that the female client has myasthenia gravis. Which of the following statements about neuromuscular blocking agents is true for a client with this condition?

A. The client may be less sensitive to the effects of a neuromuscular blocking agent.
B. Succinylcholine shouldn't be used; pancuronium may be used in a lower dosage.
C. Pancuronium shouldn't be used; succinylcholine may be used in a lower dosage.
D. Pancuronium and succinylcholine both require cautious administration

1 Answer

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Answer:

B. Succinylcholine shouldn't be used; pancuronium may be used in a lower dosage.

Step-by-step explanation:

Pancuronium is a medication that can relax muscles and help with procedures like surgery or intubation

Succinylcholine should be avoided because it can cause prolonged paralysis in patients with myasthenia gravis

Succinylcholine is a medication that can be used to quickly relax muscles during medical procedures like surgery or intubation

Myasthenia gravis is a condition that makes it hard for people to control their muscles because their nerves and muscles don't communicate well, like how a phone call might be hard to hear or understand if there's a bad connection

The symptoms of myasthenia gravis can include muscle weakness, trouble swallowing, trouble talking, and trouble breathing, like how it might be hard to move or speak clearly if someone is really tired or sick.

Succinylcholine is a medication that can be used to relax muscles quickly during medical procedures, but it should be avoided in patients with myasthenia gravis because it can cause their muscles to stay weak for too long, like how a sticker that's too sticky can be hard to remove and might hurt when it's pulled off.

Pancuronium is a medication that can relax muscles and help with procedures like surgery or intubation

Using neuromuscular blocking agents like pancuronium should be used in lower dosage in patients with myasthenia gravis because it can make their muscle weakness and fatigue last longer, like how a battery running out of power can make a toy car move slower or stop altogether.

In patients with myasthenia gravis, the use of neuromuscular blocking agents like pancuronium can result in prolonged muscle weakness and fatigue, as the transmission of impulses at the neuromuscular junction is already compromised in these patients. Therefore, caution is required when administering these drugs to patients with myasthenia gravis.

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