Baclofen (Lioresal) - Medication PDF

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Summary

Medication...

Description

ACTIVE LEARNING TEMPLATE:

Medication

Plummer STUDENT NAME Theresa _____________________________________ MEDICATION baclofen __________________________________________________________________________

REVIEW MODULE CHAPTER ___________

acting muscle relaxant CATEGORY CLASS centrally ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action inhibit effects of GABA on receptors in the spinal cord, resulting in suppression of hyperacting reflexes

Therapeutic Use Relieves skeletal muscle spam in -Spinal cord injury -Multiple sclerosis -Cerebral palsy

Complications drowsiness/dizziness, weakness/fatigue, nausea, vomiting, constipation, and urinary retention Do not cause dependence withdrawl symptoms: anxiety, restlessness, visual hallucinations, and seizures

Medication Administration start at lowest effective dose and gradually increase by 5mg increments every 3 days until you are giving 20mg dose 3-4 times per day Give with food or milk

Contraindications/Precautions -Have know hypersensitivity -Should not take concurrently with MAOIs (hypotension or increase CNS depression) -Cyclobenzaprine is contraindicated for clients taking MAOI antidepressants within the past 2wk -Use with caution (older adults, children, severe mental illness, seizure disorder, have had cerebrovascular acciedent)

Nursing Interventions

Interactions -Avoid drinking/ taking other CNS depressants -Use of cyclobenzaprine with MAOI antidressants may cause a hyperpyretic crisis and seizure -Serotonin syndrome can happen if cyclobenzaprine is administered to clients taking SSRIx, SSNRIs, and tricyclic antidepressants

Client Education Evaluation of Medication Effectiveness

ACTIVE LEARNING TEMPLATES

-Cns effects such as drowsiness subside over time -Change positions slowly -Do not drive or perform activities that require mental alertness -Take w/food or milk -Increase fiber/fluid -Do not stop abrupty; taper over 1 to 2 wks

THERAPEUTIC PROCEDURE

A7...