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Author Question: A patient with multiple sclerosis needs pharmacologic treatment for spasticity in order to begin ... (Read 50 times)

TFauchery

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on: Jul 23, 2018
A patient with multiple sclerosis needs pharmacologic treatment for spasticity in order to begin strengthening exercises to improve walking ability. The nurse anticipates that which medication will be ordered for spasticity?
 
  a. Baclofen (Lioresal)
  b. Dantrolene (Dantrium)
  c. Diazepam (Valium)
  d. Metaxalone (Skelaxin)

Question 2

A nurse is admitting a patient to the hospital. The patient reports taking oral baclofen (Lioresal) but stopped taking the drug the day before admission. The nurse would be correct to anticipate which adverse effects?
 
  a. Weakness and dizziness
  b. Fatigue and drowsiness
  c. Seizures and hallucinations
  d. Respiratory depression and coma


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fatboyy09

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

ANS: A
Baclofen is used to treat spasms associated with multiple sclerosis. It has no direct muscle relaxant effects, so it does not reduce muscle strength. Dantrolene works well to reduce spasms, but it also has significant effects on muscle strength. Diazepam is not the first-line drug of choice, but it could be used because it does not reduce muscle strength. Metaxalone is not indicated to treat spasms caused by multiple sclerosis.

Answer to Question 2

ANS: C
Abrupt discontinuation of baclofen is associated with visual hallucinations, paranoid ideation, and seizures. Central nervous system effects of baclofen include weakness, dizziness, fatigue, and drowsiness. Respiratory depression is a result of overdose of baclofen.


TFauchery

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Reply 2 on: Jul 23, 2018
Excellent

fatboyy09

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Reply 3 on: Yesterday
Thanks for the timely response, appreciate it

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