This topic contains a solution. Click here to go to the answer
« previous next »

Author Question: A patient who has cerebral palsy is beginning to experience spasticity of the muscles in the upper ... (Read 72 times)

rmenurse

  • Hero Member
  • *****
  • Posts: 513
on: Jul 23, 2018
A patient who has cerebral palsy is beginning to experience spasticity of the muscles in the upper arm. Which medications would the nurse question if prescribed for this patient?
 
  1. Metaxalone (Skelaxin) dosed three times a day
  2. Chlorzoxazone (Parafon Forte) dosed four times a day
  3. Carisoprodol (Soma) dosed three times a day
  4. Intrathecal baclofen (Lioresal)
  5. Tizanidine (Zanaflex) dosed twice a day

Question 2

Which statement is correct in regard to the muscle relaxant botulinum toxin type B (Myobloc)?
 
  1. It can be classified as a cholinergic agonist.
  2. Increased muscle strength is often seen within a couple of weeks.
  3. It can take 6 months for the effects to be seen.
  4. In high doses, it is poisonous, causing the same symptoms food poisoning does.


Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

sarajane1989

  • Sr. Member
  • ****
  • Posts: 296
Reply #1 on: Jul 23, 2018
Answer to Question 1

Correct Answer: 1,2,5
Rationale 1: Metaxalone (Skelaxin) is ineffective in the treatment of spasticity-related neurologic disorders.
Rationale 2: Chlorzoxazone (Parafon Forte) is ineffective in the treatment of spasticity related to neurodegenerative disorders.
Rationale 3: Carisoprodol (Soma) is effective in relieving the pain, muscle spasms, and spasticity associated with cerebral palsy and is dosed three times a day.
Rationale 4: Baclofen (Lioresal) is effective in reducing muscle spasticity and can be delivered intrathecally.
Rationale 5: Tizanidine (Zanaflex) is used for muscle spasticity but has a short half-life and must be dosed every 6?8 hours.

Answer to Question 2

Correct Answer: 4
Rationale: Botulinum toxin type B (Myobloc) is toxic in high doses. Clostridium botulinum is the bacteria responsible for food poisoning. The drug works by blocking the release of acetylcholine from cholinergic nerve terminals. It generally takes 6 weeks to see the effects, and they only last for 36 months. Patients taking this drug generally experience muscle weakness, not strength.


rmenurse

  • Member
  • Posts: 513
Reply 2 on: Jul 23, 2018
Thanks for the timely response, appreciate it

marict

  • Member
  • Posts: 304
Reply 3 on: Yesterday
:D TYSM

« previous next »
 

Did you know?

Limit intake of red meat and dairy products made with whole milk. Choose skim milk, low-fat or fat-free dairy products. Limit fried food. Use healthy oils when cooking.

Did you know?

Calcitonin is a naturally occurring hormone. In women who are at least 5 years beyond menopause, it slows bone loss and increases spinal bone density.

Did you know?

Throughout history, plants containing cardiac steroids have been used as heart drugs and as poisons (e.g., in arrows used in combat), emetics, and diuretics.

Did you know?

IgA antibodies protect body surfaces exposed to outside foreign substances. IgG antibodies are found in all body fluids. IgM antibodies are the first type of antibody made in response to an infection. IgE antibody levels are often high in people with allergies. IgD antibodies are found in tissues lining the abdomen and chest.

Did you know?

Amoebae are the simplest type of protozoans, and are characterized by a feeding and dividing trophozoite stage that moves by temporary extensions called pseudopodia or false feet.

Cirrhosis. Cirrhosis is characterized by a chronic deterioration of the liver, replacing healthy cel Cirrhosis. Cirrhosis is characterized by a chronic deterioration of the liver, replacing healthy cel
For ice massage, ice is frozen in a cylindrical container or a paper cup (A). The top half of the cu For ice massage, ice is frozen in a cylindrical container or a paper cup (A). The top half of the cu
The experience of romantic attachments is similar among sexual majority and minority youth. The experience of romantic attachments is similar among sexual majority and minority youth.
Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious Role-Playing a Situation in Which a Patient Is Frightened, Angry, or Anxious
The upper intake manifold, often called a plenum, attaches to the lower intake manifold. The upper intake manifold, often called a plenum, attaches to the lower intake manifold.
Apply direct pressure along upper trapezius, turning the head to access the area. Use your thumb to ... Apply direct pressure along upper trapezius, turning the head to access the area. Use your thumb to ...
Video: Molecules, Membrane Permeability and Structure

For a complete list of videos, visit our video library