MACE Medication Aide

Category - MACE

A patient with a diagnosis of myasthenia gravis has a prescription for Prostigmin. In what forms is Prostigmin available?

I. Prostigmin is available as 2, 1, 0.5 and 0.25 mg/mL injections.
II. Prostigmin is available as 15 mg tablets.
III. Prostigmin is available only as an injection, and the patient must be trained in self-administration.
IV. Prostigmin is available as both injection and tablet forms, and atropine should be readily available to treat possible cholinergic crises.
  1. I only
  2. II only
  3. I and III only
  4. IV
Explanation
Answer: B - Prostimin (neostigmine) is an anticholinesterase used to treat MG. It is available both as an injection and in tablet form. As an anticholinesterase, a cholinergic crisis is a potential adverse effect, and atropine should be readily available. Prostigmin is generally given on an inpatient basis; self-administration is not usually required.
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