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Assessment
Patient Education
Terms and Definitions
Drug class Skeletal Muscle Neuromuscular blocking agents
Drug class Centrally Acting & Direct-Acting Skeletal Muscle Relaxants
100

Reason seeking treatment now

What is the degree of impairment present?

Assessing current pain level and meds to treat

Assessing muscle spasticity and muscle groups affected

What is current history
100

many of the medications for treatment of musculoskeletal disorders produce sedation.

What should the nurse teach ?

What is safety precautions ? (avoid using power equipment or driving while taking these meds)
100
Upper motor neuron disorder caused by a conduction interruption in the nerve pathway.
What is spasticity
100
These are used during anesthesia and surgery to relax muscle groups and during the use of mechanical ventilation to improve airflow and oxygenation of the patient.
What are neuromuscular blockers?
100
This medication is commonly given to relieve muscle spasms and works by interrupting polysynaptic reflexes at the spinal cord level

What is baclofen ?

Centrally acting med

200

Ask about the ability to toilet independently

Does mobility interfere with this function?

Is incontinence a problem and how is it managed?

What is Elimination Assessment
200
Application of heat and cold, elevation of body part, proper body alignment
What is teaching procedures to relieve pain (non-medication related)
200
Autoimmune disease that affects the brain and spinal cord. The progression varies from person to person.
What is Multiple Sclerosis?
200

Increased salivation can occur with neuromuscular blockers due to.......


What is??????

What is histamine release


Have suction equipment at the bedside

p. 681

200
Sedation, Weakness, Lethargy, and Dizziness

What are common adverse effects of centrally acting skeletal muscle relaxants? 


p. 681

300

Diet history

Weight

Weight gain or loss

What is nutrition assessment
300
Name of med, dosage, side effects, expected therapeutic response
What is medication teaching?
300
Movement of the extremities is marked with exaggerated reflexes, abnormal posture, involuntary movements, walking difficulties, or a combination of the above.
What is cerebral palsy
300
What is another term for shortness of breath? This occurs with patients who are o neumoscular blocking agents along with loud or gurgling sounds with respirations.
What is dypnea?
300
Anorexia, Nausea, Vomiting, Jaundice, Hepatomegaly, Splenomegaly, and abnormal liver function test results
What are serious adverse effects of centrally acting skeletal muscle relaxants?
400

Diminished ventilation

Abdominal or neck muscles used when breathing

Cyanotic

Respirations shallow and nostrils flaring

What is detection of respiratory depression?
400
The patient must resume activities of daily living within the boundaries set by his/her healthcare provider. (exercise, meal prep, sexual activities, social interaction)
What is teaching activities and exercise?
400
A condition of sudden onset of vertigo (dizziness) numbness, aphasia (difficulty speaking due to language barrier - not comprehending) and dysarthria (speech slurred) marked by hemiplegia (one side paralyzed) or hemiparesis (one sided weakness) due to vascular lesions on the brain, embolism, thrombosis, or ruptured aneurysm.
What is Stroke Syndrome ?
400
Incentive Spirometer- is an example of this type of activity to help exercise the lungs and assess the patient's cough reflex.
What is deep breathing exercises?
400
Alcohol, narcotics, barbiturates, anticonvulsants, sedative-hypotics, tranquilizers, and antidepressants.
What are meds to avoid with centrally acting skeletal muscle relaxants due to drug interactions?
500
Review calcium, phosphorous, lupus testing, rheumatoid factor, uric acid, human leukocyte antigen, aldolase, aspartate, creatine kinase
What are laboratory studies ?
500
Encourage the patient to express feelings and be open regarding how they are feeling due to the chronic condition (MS)
What is teaching about psychosocial adjustment?
500
Nursing implication for muscle relaxants and neuromuscular blocking agents where the patient has elevated CO2 levels with symptoms of such, including tachycardia, hypotension, and cyanosis.
What is hypercapnia
500

People still paralyzed by the neuromuscular agents may still have pain and can't share that they need pain medication.

The nurse ensures...... what is?

What is routine pain medication scheduling
500
A muscle relaxant that acts directly on skeletal muscles and decreases the force of reflex muscle contractions, clonus, muscle stiffness, spasticity, and muscle movements and hyper-reflexia (over active i.e. twitching).

What is Dantrolene (Dantrium)


Direct-acting skeletal muscle relaxant