The nurse is teaching a patient with myasthenia gravis how to recognize a cholinergic crisis. What manifestations should the nurse include in this teaching? (Select all that apply.)
a. Diarrhea
b. Salivation
c. Vomiting
d. Difficulty speaking
e. Abdominal cramping
f. Increased bronchial secretions
ANS: A, B, C, E, F
Symptoms of cholinergic crisis can be remembered with the acronym SLUDGE: salivation, lacrimation, urination, diarrhea, gastrointestinal cramping, and emesis. A severe crisis has been described as "liquid pouring out of every body orifice." D. Difficulty speaking is not a manifestation of a cholinergic crisis.
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