Author Question: A patient with severe spasticity sees his physician. The physician orders dantrolene. In what ... (Read 52 times)

sjones · **on:** Jul 23, 2018

A patient with severe spasticity sees his physician. The physician orders dantrolene. In what circumstances is the drug dantrolene contraindicated?

A) Spasticity that contributes to upright position
B) Spasticity that involves both legs
C) Spasticity that involves the arm and the leg on the same side
D) Spasticity that contributes to mobility

Question 2

The physician has ordered 30 mg of Demerol IM for relief of a severe migraine headache. The package insert reads meperidine hydrochloride (Demerol) 50 mg/mL. How many milliliters would the nurse administer?

A) 1.6
B) 1
C) 0.6
D) 0.5

rnehls · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

A
Feedback:
Dantrolene is contraindicated in the presence of any known allergy to the drug. It is also contraindicated in the following conditions: spasticity that contributes to locomotion, upright position, or increased function, which would be lost if that spasticity was blocked; active hepatic disease, which might interfere with metabolism of the drug and because of known liver toxicity; and lactation because the drug may cross into breast milk and cause adverse effects in the infant. The other options would not contraindicate the medication.

Answer to Question 2

C
Feedback:

Filling in the information from the problem: 50 mg/1 mL = 30 mg/X mL. Cross-multiply yielding 0.6 mL required to administer a 30-mg dosage.