Cholinergic Crisis vs Myasthenic Crisis Nursing | Symptoms, Treatment, Tensilon Test (Edrophonium)

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  • Опубліковано 6 лип 2024
  • Myasthenic crisis vs. cholinergic crisis nursing NCLEX review lecture that will cover the symptoms, treatment, pathophysiology, testing (Tensilon test Edrophonium).
    CORRECTION: At 8:28, when I discuss Edrophonium it should say that Edrophonium = acetylcholinesterase inhibitor (which is a cholinesterase inhibitor) NOT ANTIcholinesterase.
    Cholinergic crisis and myasthenic crisis are two complications that can happen with the neuro disease myasthenia gravis. The causes of each condition are different along with some of the signs and symptoms. However, both conditions will share the sign and symptoms of respiratory failure and severe muscle weakness.
    A tensilon test (administration of Edrophonium: which is an cholinesterase medication) can help differentiate between the two conditions. If a patient is experiencing a cholinergic crisis, the tensilon test will show a negative result in that the patient’s signs and symptoms will worsen. However, if the patient is experiencing a myasthenic crisis the test will show a positive test result in that the patient's signs and symptoms will improve temporarily.
    The cause of myasthenic crisis is NOT receiving enough of an anticholinesterase medication (example Pyridostigmine) or an acute exacerbation of the disease myasthenia gravis due to stress or respiratory infection.
    The cause of a cholinergic crisis is receiving TOO MUCH of an anticholinesterase medication.
    How do anticholinesterase medications work? They stop the breakdown of acetylcholine at the neuromuscular junction, which allows more ACh to be available at the junction. This is great for treatment of myasthenia gravis. However, if too much of this medication is given it will cause a cholinergic crisis, but if not enough is given it will cause a myasthenic crisis.
    Cholinergic crisis vs Myasthenic Crisis Quiz: www.registerednursern.com/chol...
    Notes: www.registerednursern.com/chol...
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КОМЕНТАРІ • 75

  • @RegisteredNurseRN
    @RegisteredNurseRN  6 років тому +28

    *CORRECTION*: At 8:28, when I discuss Edrophonium it should say that Edrophonium = acetylcholinesterase inhibitor (which is a cholinesterase inhibitor) NOT ANTIcholinesterase inhibitor. I hope this video helps you with your studies! Thank you for watching it. Don't forget about the free resources:
    Quiz: www.registerednursern.com/cholinergic-crisis-vs-myasthenic-crisis-quiz-questions/
    Notes: www.registerednursern.com/cholinergic-crisis-vs-myasthenic-crisis-nclex-review/
    More Neuro Videos: ua-cam.com/video/x2xETKT9-4o/v-deo.html
    Instagram: instagram.com/registerednursern_com/
    Facebook: facebook.com/RegisteredNurseRNs
    Twitter: twitter.com/NursesRN

    • @sinyee7726
      @sinyee7726 6 років тому

      very clear video. i fully understand after watching this. hope you can post any other pharmacology related video continuously. thx

  • @josephyee852
    @josephyee852 6 років тому +54

    This is 10minutes after finding out I passed my nclex at 75 questions. I HAVE to come to Sarah's channel to thank her. Other than doing practice questions and reviewing my own notes, this youtube channel was my number 1 source of review. I only wished that I had her videos two years ago when I started my nursing program to save me from all the struggles. ALL current/future RN-students are so lucky to have you Sarah.

    • @RegisteredNurseRN
      @RegisteredNurseRN  6 років тому +10

      CONGRATS to you!! Thank you for taking the time to come back and leave this comment. You have no idea how much this comment means to me.....to hear that my videos helped you prep and PASS makes my day. I wish you the best in your new career as a nurse. Thank you for again for the AWESOME comment.

    • @mily87ful
      @mily87ful 6 років тому

      Joseph Yee how many questions did you do daily

  • @mynameisnicole8549
    @mynameisnicole8549 6 років тому +11

    Dear Ms. Sara,
    I would like to express my gratitude for helping me to pass my NCLEX exam.Your videos really really helped me a lot throughout my nclex review. You are a blessing to many. Thank you very much Ms. Sara. May God bless you always 🙏🏻🤗💐
    Yours truly,
    Nicole

  • @carolschlick6219
    @carolschlick6219 3 роки тому +15

    My Mom was recently diagnosed with myasthenia gravis. I am watching every single bit of info I can get! Thank you for this video ❤️

    • @hummingbird9221
      @hummingbird9221 3 роки тому

      My husband was diagnosed this morning. I'm a retired RN...a long time night supervisor. I too am refreshing my knowledge.

  • @Batangs-lr7pf
    @Batangs-lr7pf 6 років тому +3

    Maam. I passed my DHA nursing exam with the help of you videos. It such a big help :) thank you from the Philippines :)

  • @mydav2933
    @mydav2933 3 роки тому +2

    Hey sarah, i've already aced my NCLEX since last year but i still love watching your vids. My daughter is now in her third year in nursing and i also recommended for her to follow your vids. Thanks a lot!

  • @TheICUChannel
    @TheICUChannel 3 місяці тому

    one of the finest explanation in a very simple yet effective way.. thanks a lot.

  • @sophiatieu4719
    @sophiatieu4719 5 років тому +4

    You did an amazing job explaining this topic! thank you!

  • @dekaisse925
    @dekaisse925 6 років тому +1

    Thanks a lot you make complicated concepts so easy!

  • @jwhite9581
    @jwhite9581 6 років тому +2

    Thank you for this! My husband suffers from MG, and this is a great video to share with my fellow responders and intake RNs just to brush up on the basics of this debilitating disorder.

  • @GR-vm2mf
    @GR-vm2mf 2 роки тому +1

    wow I watched so many videos on this and this one helped it all "click" in my brain, you explain in an easy, clear way, thank you.Also I am a nursing student at Orlando, Fl in my 1st year and all my classmates reference your channel for clarification on a topic.

  • @uroshjovanotti
    @uroshjovanotti 10 місяців тому

    Perfect explanation, nice, easy, and simple! BRAVO!

  • @angelitohanomosigho8673
    @angelitohanomosigho8673 6 років тому +4

    Thank you .you are a blessing

  • @jenniferle1828
    @jenniferle1828 6 років тому

    Thank you very much for your video. It really helps me to prepare for my final.

  • @LSGLRG
    @LSGLRG 6 років тому +1

    You are the 🐐 this made so much more sense than reading my lecture slides!

  • @ARQ30
    @ARQ30 6 років тому +2

    Great lecture and quiz

  • @sylviaplath8755
    @sylviaplath8755 5 років тому +1

    You are amazing 💙
    I like your teaching style .

  • @michaelvincentsedurifa4618
    @michaelvincentsedurifa4618 4 роки тому

    Nurse Sarah, you are the answer to my prayers! Can I get an AMEN!

  • @francesburgos9448
    @francesburgos9448 6 років тому +1

    Great job with breaking it down to the simplest terms and highlighting the important parts for NCLEX. I truly have enjoyed watching your videos, please keep them coming

  • @krismalone578
    @krismalone578 6 років тому +1

    Love love your pathophysiology videos! You have no idea how much you've helped me! Your tying in of patho with interventions and s/s is just amazing. You should be a Professor!

  • @tonym6920
    @tonym6920 6 років тому +1

    Great lecture Sarah, thank you!

  • @bxjagal
    @bxjagal 6 років тому +1

    Thank you! I love your videos. I wish you would make a playlist with stuff for peds.

    • @RegisteredNurseRN
      @RegisteredNurseRN  6 років тому +1

      You're very welcome! Thank you for watching my videos. Yes, I most definitely will be adding a peds series in the future. So, stay tuned :)

  • @mariamasesay
    @mariamasesay 6 років тому

    OMGGGGG IT ALL MAKES SENSE NOW!!! THANKS SOOOOO MUCH

  • @youngminpark6929
    @youngminpark6929 5 років тому +1

    Thank you so much!!!!!

  • @eaziibreezii
    @eaziibreezii 4 роки тому +2

    Thank you tons. This helped :-)

  • @M.odainy
    @M.odainy 4 роки тому

    thank you so much, that's very helpful

  • @salmasaber6065
    @salmasaber6065 Рік тому

    THAT WAS VERY HELPFUL AND SIMPLE ...
    thank you very much ♥️♥️

  • @theGOAT-ml4lw
    @theGOAT-ml4lw 5 років тому +1

    aside from ur a good teacher, the reason i enjoy listening to u because ur beautiful

  • @memofeer1860
    @memofeer1860 2 роки тому

    u are awesome u have great way in simplifying the the topics , many thanks

  • @PrashanthBagal
    @PrashanthBagal 5 років тому +1

    Thank you for explaining in an easy way.

  • @pharmacist8035
    @pharmacist8035 6 років тому +1

    Grt comparison thanks for all your videos

    • @RegisteredNurseRN
      @RegisteredNurseRN  6 років тому

      Thank you very much, Rubin! I appreciate the comment!

  • @cidpusa700
    @cidpusa700 Рік тому

    Exellent teacher beautiful video amazing information

  • @shahbaz9231
    @shahbaz9231 6 років тому

    subscribtion added...Thanks you Dr.for awesome video

  • @nabilamuruthi9661
    @nabilamuruthi9661 4 роки тому +1

    Loved it 😊

  • @sahirmohamed997
    @sahirmohamed997 4 роки тому

    Nice Iv got the message thank you

  • @RemixxGlamGal
    @RemixxGlamGal 4 роки тому

    I FAITHFULLY take your quizzes after ever video and review the notes🙌🏾🙌🏾🙌🏾🙌🏾🙌🏾

  • @anirudhsingla6024
    @anirudhsingla6024 6 років тому

    awesome video

  • @saragriffin1772
    @saragriffin1772 6 років тому +1

    Can you do a video on critical care drugs and a video on prioritization with patients for nclex?
    Thank you for all that you do for nursing students.

    • @RegisteredNurseRN
      @RegisteredNurseRN  6 років тому

      Hello Sara! Thank you for the awesome suggestions. These topics are definitely on my agenda for future videos.

  • @gcvoon286
    @gcvoon286 Рік тому

    any eg of the anticholinesterase medicine? Very informative video lecture. Thank you very much.

  • @jaron5363
    @jaron5363 4 роки тому

    Thank you! Perfect way to summarize the two opposites and the pathophysiology

  • @samanthaalinsug440
    @samanthaalinsug440 6 років тому

    do u have a video on guillen-barre syndrome? kindly do one please :)

  • @320urwaafzal9
    @320urwaafzal9 3 роки тому

    Thankyou so much

  • @ivancereal9707
    @ivancereal9707 6 років тому +1

    Thank you

  • @keyvanmohammadzadeh1999
    @keyvanmohammadzadeh1999 5 років тому

    A complete explaining of MG crisis. Thanx a million

  • @Dr.NaeemAkhtar
    @Dr.NaeemAkhtar 2 роки тому

    I am not in love with you only ; but also with your lectures 😍😘

  • @docmourad
    @docmourad 6 років тому +1

    thank you very much

  • @sta2106
    @sta2106 6 років тому

    Thank you, this is very helpful.

  • @kavisivaswamy
    @kavisivaswamy 3 роки тому

    super explanatiom madam

  • @agiscobayagiscobay680
    @agiscobayagiscobay680 6 років тому +1

    hi Sarah...thanks so much..this condition seams to be the worse becuse the more u control Myasthenia crisis the more the pts goes into cholonergic crisis..its like back and forth...

  • @mahiinsan589
    @mahiinsan589 6 років тому +1

    Your videos are amazing... Your all videos are helping me a lot hope so I'll clear the NCLEX....

    • @RegisteredNurseRN
      @RegisteredNurseRN  6 років тому

      Thank you so much for the very kind comment. I'm so honored to help out! It is so awesome to hear my videos are helping you. Best wishes on NCLEX!

    • @mahiinsan589
      @mahiinsan589 6 років тому

      Thanku so much maam

  • @sapanadulal9764
    @sapanadulal9764 4 роки тому

    U r amazing

  • @geraldpatrick4850
    @geraldpatrick4850 8 місяців тому

    Legendary

  • @anupama5646
    @anupama5646 Рік тому

    Thank u maam

  • @jehadalsammak7406
    @jehadalsammak7406 6 років тому +1

    Thank you from palestaine..❤🌷

  • @linajohn557
    @linajohn557 6 років тому +1

    hi, can you plz make a video of nursing Assessment? thank you and God bless

    • @RegisteredNurseRN
      @RegisteredNurseRN  6 років тому +1

      Hello Lina :) I have a complete video on the head-to-toe assessment. You can watch it here: ua-cam.com/video/gG8kh8MfnGY/v-deo.html

    • @linajohn557
      @linajohn557 6 років тому +1

      thank you very much for this video it's really helpful,
      I appreciate.

  • @farfarhad1283
    @farfarhad1283 8 місяців тому

    Why dilated pupils in Myasthenic crisis? As Myasthenia is disease of skeletal muscle, where as pupil muscles are smooth muscle. So pupils should be Normal.
    Thank you. Just want to know

  • @Lalalovesz
    @Lalalovesz 6 років тому

    THANK YOU SARAH!

  • @bossjuangupit3680
    @bossjuangupit3680 2 роки тому

    I have Myasthenia gravis ..my medicine is mestinon 3x a day

  • @anupama5646
    @anupama5646 Рік тому

    ❤❤

  • @prahladdeshmukh7130
    @prahladdeshmukh7130 2 роки тому

    🥰