Chapter 25 Flashcards
Centrally acting skeletal muscle relaxants: Generic names
Baclofen - treat muscle spasticity in patients with neuromuscular injuries/disease, like MS or spinal cord injuries
Methocarbamol - used with kids for tetanus
Cyclobenzaprine - acute musculoskeletal conditions, used short term
Tinzanidine - muscle relaxant
Centrally acting skeletal muscle relaxants: Pharmacokinetics
Rapidly absorbed and metabolized, excreted in the urine
Centrally acting skeletal muscle relaxants: Contraindications & Cautions
Allergies
Rheumatic disorders
Epilepsy
Cardiac dysfunction
Conditions marked by muscle weakness
Centrally acting skeletal muscle relaxants: Intended Response
skeletal muscle relaxation and reduced spasms
Sedation pain relief, increased mobility
Centrally acting skeletal muscle relaxants: Adverse Effects
Amnesia, angioedema, cardiac dysrhythmias, prolonged cardiac conduction
Centrally acting skeletal muscle relaxants: Drug to Drug interactions
Other CNS depressants or Alcohol
Both will cause CNS depression
Centrally acting skeletal muscle relaxants: Assessments
Before: Assess LOC, cognition, muscle reactivity / strength, ask about seizure disorders, assess BP and pulses
After: assess LOC, degree of muscle relaxation, prevent falling, assess for redness and swelling
Centrally acting skeletal muscle relaxants: RN Considerations
Assess history and physical exam
Allergies, cardiac depression, epilepsy, muscle weakness, rheumatic disorders
CNS orientation, consciousness, affect, reflexes, bilateral grip strength, liver and renal function tests
Have anticolinergic effects: cant see, spit, poop or pee
Performed frequent oral care
Centrally acting skeletal muscle relaxants: Patient teaching
Short term use drugs
Avoiding heavy machinery, driving or critical decisions
Avoid alcohol
Take pulses daily
Photosensitive
