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Skel.Muscle Relaxant
Pharmacology, Medicinal
| Questions | Answer |
|---|---|
| What are the 3 types of skeletal muscle relaxants? | Neuromuscular Blockers Central Acting Direct Acting |
| Dantrolene is what type of skeletal muscle relaxant? | Direct Acting |
| What are the two subtypes of neuromuscular blockers? | Competitive (non-depolarizing) and Depolarizing |
| Which type of relaxant can cause flaccid paralysis? | Neuromuscular blocker |
| Diazepam and Bacclofen are what type of relaxants? | Specific central acting |
| What drug is a central acting non-specific muscle relaxant? | Tizanidine (Zanaflex) |
| True or False Succinylchloride is a depolarizing neuromuscular blocker? | True |
| Which type of skeletal muscle relaxant class can be reversed using an Ache Inhibitor such as Neostigmine or Edrophonium and Atropine? | Neuromuscular blocker |
| Produces short and persistent fasciculations? | Succinylchloride |
| Can not reversed by Acetylcholinesterase Inhibitors b/c its non-competitive | Succinylchloride |
| S/e include: respiratory paralysis, artificial respiratory ,autonomic ganglia CV: tachycardia (blockade of parasympathetic ganglia) or bradycardia (stimulation of parasympathetic ganglia) | Neuromuscular blockers |
| Large amounts of histamines can cause blood pressure to increase or decrease? | Blood pressure decreases |
| True or False, succinylchloride can be given in conjunction with a competitive agent as long as the patient is titrated? | True |
| Centrally acting specific muscle relaxants work by which receptor? | GABA |
| Tizanidine inhibits the release of what excitatory receptor? | Glutamate (amino acid NT) |
| Side effects of Tizanidine include: | hypotension and dizziness |
| Dantrolene binds to which receptor? | RyR1 (ryanodine receptor) |
| RyR2 is found where? | The heart |
| Dantrolene mechanism of action? | Blocks RyR1 receptor which inhibits the release of Ca+ in sarcoplasmic recticulum, which interferes with muscle contraction. |
| This drug can also be used I.V. to treat malignant hyperthermia? | Dantrolene |
| Malignant hyperthemia symptoms include: | tachycardia, high temperatures (108), muscle rigidity, cyanosis |
| What are some non-specific central acting dugs? | Carisporodol (Soma~IV) Methocarbonol (Robaxin) Metaxalone (Skalexin) Cyclobenzaprine (Flexeril) (dry mouth, blurred vision) Chlozazone (Paraflex) |
| Centrally acting drugs are administered how? | P.O |
| Centrally acting drugs work by what mechanism of action? | decrease synaptic transmission of impulses in spinal cord |
| Drugs ending in curonium or curium are of what skeletal muscle relaxant class? | Competitive neuromuscular blockers |