Muscle Relaxants
Name one centrally acting skeletal muscle relaxants
Baclofen (Lioresal), Carisoprodol (Soma), Chlorzoxazone (Parafon), Cyclobenzaprine (Amrix), Metaxalone (Skelaxin), Methocarbamol (Robaxin), Orphenadrine (Banflex, Flexon), and Tizanidine (Zanaflex).
A surgical client has developed malignant hyperthermia. Which medication can be used to treat this health emergency?
Dantrolene
A nurse is caring for two clients who are status postoperative for abdominal surgery. What is the best way to evaluate pain response after administering analgesia?
Use a pain assessment tool before and 30 minutes after medication administration.
The nurse is caring for a client who is scheduled to receive a local anesthetic. The nurse understands that vital signs should be monitored at what point?
Before, during, and after the procedure
Name one Opioid
Opioid agonists include Opium (Paregoric), Oxycodone (OxyContin), Oxymorphone (generic), Hydrocodone (Hysingla ER, Zohydro ER), Hydromorphone (Dilaudid), Levorphanol (generic), Meperidine (Demerol), Methadone (Dolophine), Morphine (Roxanol, Astramorph), Opium (Paregoric), Remifentanil (Ultiva), Sufentanil (Sufenta), Tapentadol (Nucynta), and Tramadol (Ultram).
Patients should be cautioned to avoid which when taking skeletal muscle relaxants?
Alcohol
Patient is taking dantrolene and is having liver dysfunction. What would the doctor advise the patient to do?
Discontinue the drug
Is pain an objective or subjective assessment finding
Subjective
What ever the patient says
A client needs to be administered topical anesthesia. The nurse would administer the anesthetic at which location?
on the skin
Ergot Derivatives contraindication
Allergy,CAD, Hypertension or Peripheral Vascular Disease, Impaired Liver Function, Pregnancy and Lactation
The client is receiving 10 mg of cyclobenzaprine PO tid. The nurse's teaching plan should include which instruction?
Do not drive or operate heavy machinery for at least 1 week
Side effects of cyclobenzaprine
drowsiness
A female client is crying and states that everyone thinks she is a "drug addict" and that no one will listen to her. She states she has abdominal pain and must have something for the pain. What is the best response of the nurse?
Any answer that shows compassion
What equipment MUST you have available when giving neuromuscular junction blocking agents?
ventilator
Double-point if you can name one
Atracurium (generic), Cisatracurium (Nimbex), Pancuronium (generic), Rocuronium (generic), and Vecuronium (generic).
The body's first line of defense against these organisms is considered to be what?
The skin
A patient's last lab results indicate that he is experiencing renal insufficiency. Would his dose of medication be increased or decreased?
Decrease
Name a Direct-Acting Skeletal Muscle Relaxants
Dantrolene (Dantrium), onabotulinumtoxinA (Botox, Botox Cosmetic), incobotulinumtoxinA (Xeomin), and rimabotulinumtoxinB (Myobloc).
Nonpharmacological treatments can include
warmth, massage, positioning, acupuncture, or meditation.
CONTRAINDICATION for Neuromuscular Junction Blockers
Allergy, Myasthenia Gravis, Renal or Hepatic Impairment, Pregnancy
leukocyte refers to:
White blood cells
Chlorzoxazone does what to the patient's urine?
Discolor the urine, becoming orange to purplish-red when metabolized and excreted
Sustained muscle contractions—as a result of loss of nerves that help to maintain balance in controlling muscle activity.
spasticity
The drug of choice for reversal of opioid effects and opioid overdose in children
Naloxone (Narcan)
Clinical manifestations of Salicylism
dizziness, ringing in the ears, difficulty hearing, nausea, vomiting, diarrhea, mental confusion,
Name a medication that can cause salicylism. Double the points
aspirin
True or False:
Acetaminophen is used to treat fever, pain and inflammation
FALSE
only fever and pain no antiflammatory properties