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Author Question: A patient has localized muscle spasms after suffering a leg injury in sports. Treatment options for ... (Read 70 times)

urbanoutfitters

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on: Jul 23, 2018
A patient has localized muscle spasms after suffering a leg injury in sports. Treatment options for this patient will not include:
 
  a. analgesic anti-inflammatory drugs.
  b. chlorzoxazone (Paraflex).
  c. metaxalone (Skelaxin).
  d. whirlpool baths.

Question 2

A nurse is caring for a patient receiving intrathecal baclofen (Lioresal). The patient is unresponsive. After asking a coworker to contact the provider, the nurse anticipates performing which intervention?
 
  a. Preparing to support respirations
  b. Administering an antidote to baclofen
  c. Administering diazepam to prevent seizures
  d. Obtaining an electrocardiogram


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Anton

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Reply #1 on: Jul 23, 2018
Answer to Question 1

ANS: B
Chlorzoxazone is a centrally acting muscle relaxant; however, its hepatic side effects can be severe and life threatening, and its effectiveness is minimal, so the risks of using this agent outweigh the benefits. Analgesic anti-inflammatory drugs are used as part of drug therapy in a patient with muscle spasms caused by localized muscle injury. Metaxalone is a centrally acting muscle relaxant that can be used with caution and with periodic liver function evaluation. Whirlpool baths are useful adjuncts to drug therapy.

Answer to Question 2

ANS: A
An overdose of baclofen can produce coma and respiratory depression, so the nurse would be correct to suspect overdose in this patient. Respiratory support is essential to prevent a fatal outcome. There is no antidote for baclofen overdose. Diazepam would not be indicated, because seizures are not a result of baclofen overdose and may further depress respirations. An electrocardiogram is not indicated for this patient.


urbanoutfitters

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Reply #2 on: Jul 23, 2018
Both answers were spot on, thank you once again


Anton

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Reply #3 on: Jul 23, 2018
Great! Please up vote :D


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