Ace Your Nervous System Classes and Exams with Picmonic: #1 Visual Mnemonic Study Tool for Nurse Practitioner (NP) Students

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Nervous System | Nurse Practitioner (NP) School Study Aid

Nondepolarizing Neuromuscular Blocking Drugs

Names Include "Cur"

Competitive Antagonists

Acetylcholine Competition

Reversal of Blockade

Neostigmine, Edrophonium

1 min

Succinylcholine

Inducing Paralysis

Neuromuscular Blocking Drugs

Motor Nicotinic Receptor

ACh Receptor Agonist

Depolarization

Phase I (Paralysis Non-reversible)

Phase II (Paralysis Reversible)

Neostigmine (Reversal Agent)

2 mins

Parkinson's Drugs

Decreased Dopamine

Increased Acetylcholine

BALSA Acronym

Bromocriptine

Amantadine

Levodopa

Selegiline

Antimuscarinics

2 mins

Levodopa/Carbidopa (Sinemet)

Parkinson's Disease

Increase Dopamine in Brain

Cross blood-brain barrier

Increase bioavailability

Arrhythmias

Dyskinesia

1 min

Memantine

Alzheimer's Disease

NMDA Receptor Antagonist

Prevents Excitotoxicity

Confusion

Hallucinations

1 min

Donepezil

Alzheimer's Disease

Acetylcholinesterase Inhibitor

Increased Acetylcholine

Nausea and Vomiting

Dizziness

52 secs

Sumatriptan

Short Half-Life

5-HT Agonist

Inhibits Trigeminal Nerve Activation

Induces Vasoconstriction

Migraine

Cluster Headache

Increased Risk of Serotonin Syndrome

Paresthesias

Coronary Vasospasm

Prinzmetal's Angina

Coronary Artery Disease (CAD)

3 mins

Gabapentin

Seizure Treatment

Peripheral Neuropathy

Postherpetic Neuralgia

Bipolar Disorder

Migraine Prophylaxis

Inhibits Voltage-Gated Ca2+ channels

Designed as a GABA Analog

Ataxia

Sedation

2 mins

Opioids Overview

Pain

Weaning

Cough

Diarrhea

Agonists at Mu (μ), Kappa (Κ), and Delta (δ) Receptors

Decrease Synaptic Transmission

Respiratory Depression

Addiction

Miosis

Constipation

2 mins

Codeine

Opioid Receptor Agonist

Mild to Moderate Pain

Cough Suppressant

Sedation

Constipation

Miosis

Close Monitoring When Breast Feeding

Often Combined with Non-Opioids

2 mins

Morphine

Opioid Receptor Agonist

Pain

Myocardial Infarction

Nausea and Vomiting

CNS Depression

Biliary Colic

Constipation

Increased Intracranial Pressure (ICP)

Pupillary Constriction

Hypotension

2 mins

Meperidine (Demerol)

Opioid Receptor Agonist

Moderate to Severe Pain

Post Anesthesia Shivering

Tremors

Constipation

CNS Depression

Sedation

Short Term Administration

Increased Risk Serotonin Syndrome

Does NOT cause Miosis

Renal Failure Increases Toxicity Risk

2 mins

Naloxone (Narcan)

Competitive Opioid Receptor Antagonist

Opioid Induced CNS Depression

Severe Nausea and Vomiting

Excitable State

Opioid Withdrawal Symptoms

Repeated Dosing Often Required

1 min

Tramadol

Chronic Pain

Weak Opioid

Inhibit Serotonin and NE reuptake

Increased Risk of Seizure

48 secs

Butorphanol

Migraine

Severe Pain

Labor

Partial Agonist at Mu and Full Agonist at Kappa Receptors

Less Respiratory Depression

Withdrawal Symptoms

1 min

Nonbenzodiazepine Hypnotics

Insomnia

Short Half-Life

Acts on BZ1 GABA receptor

Less dependence

Zolpidem (Ambien)

Ataxia, confusion

Flumazenil for Overdose

1 min

Barbiturates

Barb- Drug Names

Seizure Treatment

Anesthesia Induction

Increased Duration of Cl- Channel Opening

Decrease Neuron Firing

Sedation

Cardiovascular and Respiratory Depression

CNS Depression

P450 inducer

2 mins

Serotonin Syndrome Assessment

Restlessness

Diaphoresis

Tachycardia

Hypertension

Diarrhea

Hyperthermia

Decreased Level of Consciousness

Muscle Rigidity

Seizure and Coma

Cyproheptadine

2 mins

Melatonin Agonists

Activate Melatonin Receptors in Hypothalamus

Ramelteon

Tasimelteon

Agomelatine

Insomnia

Circadian Rhythm Disorders

Dizziness

Headache

Fatigue

No Dependence

Avoid Fluvoxamine

1 min

Baclofen

GABA-B Receptor Agonist

Spinal Cord

Spasticity

Dystonia

Multiple Sclerosis

CNS Depression

Nausea

Taper Gradually

1 min

Suvorexant

Orexin Receptor Antagonist

Insomnia

CNS Depression

Headache

Abnormal Dreams

Contraindicated in Narcolepsy

Avoid in Liver Disease

1 min

Fentanyl

Opioid Receptor Agonist

High Potency

Anesthesia Induction

Chronic Pain

Breakthrough Pain

CNS Depression

Respiratory Depression

Constipation

Miosis

Addiction

3 mins

Buprenorphine-Naloxone (Suboxone)

Combination Drug

Partial Opioid Receptor Agonist (Buprenorphine)

Opioid Receptor Antagonist (Naloxone)

Opioid Use Disorder

CNS Depression

Diaphoresis

Hypotension

Low Abuse Potential

2 mins

Cilostazol and Dipyridamole

Phosphodiesterase 3 Inhibitor (PDE-3)

Inhibits Platelet Aggregation

Vasodilation

Intermittent Claudication

Stroke Prevention

Coronary Stent Stenosis Prevention

Cardiac Stress Testing (Dipyridamole)

Flushing

Hypotension

3 mins

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