Podcast
Questions and Answers
Centrally-acting muscle relaxants relieve muscle spasms and pain through which mechanism?
Centrally-acting muscle relaxants relieve muscle spasms and pain through which mechanism?
Cyclobenzaprine exerts an effect within which time span?
Cyclobenzaprine exerts an effect within which time span?
Cyclobenzaprine may aid in the relief of muscle spasm for which duration?
Cyclobenzaprine may aid in the relief of muscle spasm for which duration?
The nurse plans to provide patient teaching to Ms. Wilson regarding cyclobenzaprine. Which information would the nurse share with Ms. Wilson?
The nurse plans to provide patient teaching to Ms. Wilson regarding cyclobenzaprine. Which information would the nurse share with Ms. Wilson?
Signup and view all the answers
Which statement made by Ms. Wilson regarding cyclobenzaprine indicates further teaching is required by the nurse?
Which statement made by Ms. Wilson regarding cyclobenzaprine indicates further teaching is required by the nurse?
Signup and view all the answers
Which common side effects are associated with centrally-acting muscle relaxants?
Select all that apply.
Which common side effects are associated with centrally-acting muscle relaxants? Select all that apply.
Signup and view all the answers
Which products, if taken concurrently with midazolam, could result in drug interactions?
Select all that apply.
Which products, if taken concurrently with midazolam, could result in drug interactions? Select all that apply.
Signup and view all the answers
The nurse would withhold the prescribed midazolam for the patient reporting which condition?
The nurse would withhold the prescribed midazolam for the patient reporting which condition?
Signup and view all the answers
The nurse would monitor which laboratory values for a patient taking cyclobenzaprine?
The nurse would monitor which laboratory values for a patient taking cyclobenzaprine?
Signup and view all the answers
The nurse understands that excretion of cyclobenzaprine occurs via which organ system?
The nurse understands that excretion of cyclobenzaprine occurs via which organ system?
Signup and view all the answers
Which nursing assessments are important for a patient prescribed cyclobenzaprine?
Which nursing assessments are important for a patient prescribed cyclobenzaprine?
Signup and view all the answers
Which method would the nurse use to administer cyclobenzaprine to facilitate the greatest amount of absorption?
Which method would the nurse use to administer cyclobenzaprine to facilitate the greatest amount of absorption?
Signup and view all the answers
Use of muscle relaxants is contraindicated in patients with which condition?
Use of muscle relaxants is contraindicated in patients with which condition?
Signup and view all the answers
A patient who has been taking 5 mg of oral cyclobenzaprine PO tid for 6 weeks asks for a renewal of the prescription. Which information is of concern to the nurse?
A patient who has been taking 5 mg of oral cyclobenzaprine PO tid for 6 weeks asks for a renewal of the prescription. Which information is of concern to the nurse?
Signup and view all the answers
The nurse educates a patient to avoid which drugs while taking muscle relaxants?
The nurse educates a patient to avoid which drugs while taking muscle relaxants?
Signup and view all the answers
Which side effects of muscle relaxants would the nurse educate a patient about?
Which side effects of muscle relaxants would the nurse educate a patient about?
Signup and view all the answers
Which instruction would the nurse provide a patient taking cyclobenzaprine to avoid dizziness and fainting?
Which instruction would the nurse provide a patient taking cyclobenzaprine to avoid dizziness and fainting?
Signup and view all the answers
A patient is complaining of gastrointestinal symptoms when taking a prescribed muscle relaxant. The nurse would recommend which beverage to help alleviate these symptoms?
A patient is complaining of gastrointestinal symptoms when taking a prescribed muscle relaxant. The nurse would recommend which beverage to help alleviate these symptoms?
Signup and view all the answers
A nurse is providing discharge teaching to a patient prescribed cyclobenzaprine. Which statement would be appropriate to include in the teaching?
A nurse is providing discharge teaching to a patient prescribed cyclobenzaprine. Which statement would be appropriate to include in the teaching?
Signup and view all the answers
The nurse will teach the patient that cyclobenzaprine can relieve which symptoms?
The nurse will teach the patient that cyclobenzaprine can relieve which symptoms?
Signup and view all the answers
For which reason should a patient taking cyclobenzaprine report adverse effects to the health care provider?
For which reason should a patient taking cyclobenzaprine report adverse effects to the health care provider?
Signup and view all the answers
The nurse teaches a patient that a muscle relaxant should not be abruptly stopped based on which rationale?
The nurse teaches a patient that a muscle relaxant should not be abruptly stopped based on which rationale?
Signup and view all the answers
A patient has been prescribed a skeletal muscle relaxant and asks the nurse, “Why was I told not to drive or participate in activities that require mental alertness while taking this drug?” Which response by the nurse is appropriate?
A patient has been prescribed a skeletal muscle relaxant and asks the nurse, “Why was I told not to drive or participate in activities that require mental alertness while taking this drug?” Which response by the nurse is appropriate?
Signup and view all the answers
A patient who has received an intravenous (IV) dose of midazolam will be switched to oral (PO) formulation. Which adjustment in dosing does the nurse anticipate?
A patient who has received an intravenous (IV) dose of midazolam will be switched to oral (PO) formulation. Which adjustment in dosing does the nurse anticipate?
Signup and view all the answers
Which medication would the nurse instruct an otherwise healthy patient to avoid while taking midazolam?
Which medication would the nurse instruct an otherwise healthy patient to avoid while taking midazolam?
Signup and view all the answers
The nurse administered midazolam intravenously. Which assessment, if noted by the nurse, would require immediate intervention?
The nurse administered midazolam intravenously. Which assessment, if noted by the nurse, would require immediate intervention?
Signup and view all the answers
Which assessment finding would require the nurse to hold the prescribed midazolam?
Which assessment finding would require the nurse to hold the prescribed midazolam?
Signup and view all the answers
Which nursing assessments, if applicable, must be completed before the administration of midazolam?SATA
Which nursing assessments, if applicable, must be completed before the administration of midazolam?SATA
Signup and view all the answers
Study Notes
Centrally-Acting Muscle Relaxants Mechanism
- Centrally-acting muscle relaxants relieve muscle spasms and pain by impacting the central nervous system.
- They work by decreasing the activity of nerve impulses that cause muscle contractions.
Cyclobenzaprine Effects and Duration
- Cyclobenzaprine takes 1-3 days to exert its full effect.
- It may aid in the relief of muscle spasm for 2-3 weeks.
Cyclobenzaprine Patient Teaching
- Instruct patients to avoid activities requiring mental alertness, such as driving or operating machinery.
- Explain that cyclobenzaprine may cause drowsiness and that taking it with alcohol or other sedatives can increase this risk.
- Disclose the potential for anticholinergic effects.
Cyclobenzaprine Side Effects
- Common side effects of centrally-acting muscle relaxants include: drowsiness, dizziness, dry mouth, blurred vision, constipation, and urinary retention.
Drug Interactions
- Midazolam can interact with drugs that inhibit its metabolism, such as grapefruit juice, ketoconazole, erythromycin, clarithromycin, and itraconazole.
Midazolam Contraindications
- The prescribed midazolam should be withheld from patients experiencing respiratory depression.
Cyclobenzaprine Monitoring
- Monitor liver function tests (LFTs) for patients taking cyclobenzaprine due to potential for hepatotoxicity.
Cyclobenzaprine Excretion
- The primary organ responsible for cyclobenzaprine excretion is the kidneys.
Important Nursing Assessments for Cyclobenzaprine
- Vital signs: Monitor for changes in heart rate and blood pressure.
- Mental status: Assess for confusion, drowsiness, or impaired cognitive function.
- Gastrointestinal system: Evaluate for constipation or other digestive issues.
- Hydration: Ensure adequate fluid intake to prevent urinary retention.
- Respiratory system: Observe for signs of respiratory depression.
Cyclobenzaprine Administration
- To enhance absorption, administer cyclobenzaprine with a meal.
Contraindications for Muscle Relaxants
- Muscle relaxants are contraindicated in patients with myasthenia gravis.
Patient Concerns with Cyclobenzaprine
- If a patient requests a renewal of cyclobenzaprine after 6 weeks of use, the nurse should investigate the reason for prolonged use and inform the healthcare practitioner.
Drug Interactions with Muscle Relaxants
- Advise patients to avoid alcohol and other CNS depressants while taking muscle relaxants.
Side Effects of Muscle Relaxants
- Educate patients about potential side effects of muscle relaxants, such as drowsiness, dizziness, fatigue, dry mouth, blurred vision, weakness, nausea, and constipation.
Preventing Dizziness with Cyclobenzaprine
- Encourage patients to get out of bed slowly and to avoid activities that could lead to dizziness or fainting until they know how the medication will impact them.
Alleviating Gastrointestinal Symptoms with Muscle Relaxants
- Recommend patients to drink plenty of fluids, especially water, to assist with gastrointestinal symptoms.
Discharge Teaching for Cyclobenzaprine
- Reinforce the importance of adhering to the prescribed dosage and schedule.
- Advise patients to report any adverse effects to their healthcare provider immediately.
- Explain that cyclobenzaprine is not meant for long-term use.
Cyclobenzaprine Symptom Relief
- Emphasize that cyclobenzaprine can help relieve muscle spasms and pain associated with musculoskeletal conditions.
Reporting Adverse Reactions
- Educate patients to report any adverse effects to their healthcare provider, as they may indicate a need for dose adjustment or alternative treatment.
Abruptly Stopping Muscle Relaxants
- Explain that muscle relaxants should not be stopped abruptly to minimize the risk of withdrawal symptoms or rebound muscle spasms.
Driving Restriction with Muscle Relaxants
- Explain that muscle relaxants can impair mental alertness and coordination, making it unsafe to drive or participate in activities requiring concentration.
Midazolam Dose Adjustments
- When transitioning from IV to oral midazolam, anticipate a higher oral dose due to reduced bioavailability.
Medication to Avoid with Midazolam
- Avoid administering alcohol to patients taking midazolam due to the risk of enhanced sedation.
Nursing Interventions for Midazolam
- For intravenous administration, monitor patients closely for signs of respiratory depression, hypotension, and paradoxical reactions. These require immediate intervention.
Midazolam Holding
- Hold the prescribed midazolam for patients exhibiting respiratory depression, hypotension, or a paradoxical reaction.
Pre-Midazolam Assessments
- Before administering midazolam, assess vital signs (blood pressure, pulse, respirations, oxygen saturation), mental status, and baseline respiratory function. If applicable, review the patient's allergy history and relevant laboratory values.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Explore the mechanisms by which centrally-acting muscle relaxants alleviate muscle spasms and pain. This quiz focuses on the pharmacological actions and effects of these medications. Test your knowledge on how they work in the nervous system.
