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?
- Increase neuron activity in the spinal cord or brain, or decrease neuronal inhibition on the skeletal muscles.
- Sedate the patient so the spasms and spasticity are decreased.
- Depress neuron activity in the spinal cord or brain or enhance neuronal inhibition on the skeletal muscles. (correct)
- Increase the hyperactive reflex which blocks the spasms and spasticity.
Cyclobenzaprine exerts an effect within which time span?
Cyclobenzaprine exerts an effect within which time span?
- 30 minutes
- 1 hour (correct)
- 2 hours
- 6 to 8 hours
Cyclobenzaprine may aid in the relief of muscle spasm for which duration?
Cyclobenzaprine may aid in the relief of muscle spasm for which duration?
- 1 to 2 hours
- 3 to 8 hours
- 12 to 24 hours (correct)
- 36 to 48 hours
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?
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?
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.
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.
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?
The nurse would monitor which laboratory values for a patient taking cyclobenzaprine?
The nurse would monitor which laboratory values for a patient taking cyclobenzaprine?
The nurse understands that excretion of cyclobenzaprine occurs via which organ system?
The nurse understands that excretion of cyclobenzaprine occurs via which organ system?
Which nursing assessments are important for a patient prescribed cyclobenzaprine?
Select all that apply.
Which nursing assessments are important for a patient prescribed cyclobenzaprine? Select all that apply.
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?
Use of muscle relaxants is contraindicated in patients with which condition?
Use of muscle relaxants is contraindicated in patients with which condition?
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?
The nurse educates a patient to avoid which drugs while taking muscle relaxants?
Select all that apply.
The nurse educates a patient to avoid which drugs while taking muscle relaxants? Select all that apply.
Which side effects of muscle relaxants would the nurse educate a patient about?
Select all that apply.
Which side effects of muscle relaxants would the nurse educate a patient about? Select all that apply.
Which instruction would the nurse provide a patient taking cyclobenzaprine to avoid dizziness and fainting?
Select all that apply.
Which instruction would the nurse provide a patient taking cyclobenzaprine to avoid dizziness and fainting? Select all that apply.
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?
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?
The nurse will teach the patient that cyclobenzaprine can relieve which symptoms?
Select all that apply.
The nurse will teach the patient that cyclobenzaprine can relieve which symptoms? Select all that apply.
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?
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?
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?
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?
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?
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?
Which assessment finding would require the nurse to hold the prescribed midazolam?
Which assessment finding would require the nurse to hold the prescribed midazolam?
Which nursing assessments, if applicable, must be completed before the administration of midazolam?
Select all that apply.
Which nursing assessments, if applicable, must be completed before the administration of midazolam? Select all that apply.
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Study Notes
Centrally-acting muscle relaxant mechanism
- Relieve muscle spasms and pain by suppressing nerve impulses transmitted from the brain to the spinal cord
Cyclobenzaprine mechanism
- Exerts effects within 1-3 hours
- May aid in spasm relief for 3-4 weeks
Cyclobenzaprine patient teaching
- Instruct patient to avoid alcohol and other CNS depressants
- Inform patient of potential side effects, including drowsiness, dizziness, dry mouth
- Advise patient to take medication with food to minimize GI upset
Cyclobenzaprine statement indicating further teaching is needed
- "I can take cyclobenzaprine whenever I feel muscle spasms."
Common side effects of centrally-acting muscle relaxants
- Drowsiness
- Dizziness
- Weakness
- Dry mouth
- Blurred vision
- Constipation
Drugs interacting with midazolam
- Alcohol
- Opioids
- Benzodiazepines
- Antihistamines
- Barbiturates
Holding midazolam
- Patient reporting respiratory depression
Laboratory values to monitor for cyclobenzaprine
- Liver function tests
Cyclobenzaprine excretion
- Renal system
Nursing assessments important for patients prescribed cyclobenzaprine
- Blood pressure
- Respiration
- Level of consciousness
- Mental status
- Muscle function
- Liver function
Method of administration for the greatest absorption of cyclobenzaprine
- Oral administration with food
Contraindication for use of muscle relaxants
- Myasthenia gravis
Information of concern to the nurse for a patient taking cyclobenzaprine
- The patient has been taking the medication for 6 consecutive weeks, potentially indicating dependence or tolerance
Drugs to avoid when taking muscle relaxants
- Alcohol
- CNS depressants
- Antihistamines
- Sedatives
Side effects of muscle relaxants to educate a patient about
- Drowsiness
- Dizziness
- Weakness
- Dry mouth
- Blurred vision
- Constipation
Instructions for patients taking cyclobenzaprine to avoid dizziness and fainting
- Change positions slowly
- Avoid driving or operating machinery
- Avoid alcohol and other CNS depressants
Beverage to recommend for patient with gastrointestinal symptoms taking a muscle relaxant
- Milk
Appropriate discharge teaching for a patient prescribed cyclobenzaprine
- Instruct patient to avoid alcoholic beverages while taking cyclobenzaprine
Symptoms that cyclobenzaprine can relieve
- Muscle spasms
- Pain
Reason for patients taking cyclobenzaprine to report adverse effects
- To ensure optimal treatment and safety
Rationale for teaching a patient not to abruptly stop taking a muscle relaxant
- Abrupt discontinuation can cause withdrawal symptoms, including insomnia, agitation, and muscle tremors.
Appropriate response to a patient who has been prescribed a skeletal muscle relaxant and asks why they were told not to drive or participate in activities that require mental alertness
- "This medication can cause drowsiness and dizziness, affecting your ability to focus and react appropriately while driving or engaging in activities requiring mental alertness. It's important to prioritize your safety and avoid these activities while taking this medicine."
Dosing adjustment for a patient switching from intravenous midazolam to oral formulation
- The oral dose will be higher than the intravenous dose due to first-pass metabolism
Medication to avoid while taking midazolam
- Alcohol
Assessment finding requiring immediate intervention after administering midazolam intravenously
- Respiratory depression
###Assessment finding requiring the nurse to hold a prescribed midazolam
- Decreased level of consciousness
Nursing assessments to complete before administering midazolam
- Respiratory rate and depth
- Blood pressure
- Heart rate
- Oxygen saturation
- Level of consciousness
- Allergies
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