Download Suggested Answers to Discussion Topics

Chapter 16, Suggested Answers to Discussion Topics
Suggested Answers for Topics for Discussion
1a. Students’ answers should include the following:
 Assess for drug allergies and drug interactions.
 Ask about cardiac problems, glaucoma, and urinary retention.
 Identify all current medications, including over-the-counter and herbal.
 Assess work expectations: What are the on-the-job risks?
1b. Students’ answers should include the following:
 Mr. Smith should be cautioned against driving or working on the job site until he is aware
of how the cyclobenzaprine will affect him.
 Take with a full glass of water.
 Physical therapy and compresses should be coordinated with the intake of the drug.
 Caution the patient against drinking alcohol.
 Teach him to change positions slowly.
 If a dose is missed take it as soon as remembered but do not double doses.
 Remind the patient not to take any medications without the provider’s approval.
 Teach him to report a severe headache, confusion, hallucinations, or sudden weakness.
 Explain about small, frequent meals.
2a. Students’ answers should include the following:
 Oral baclofen is rapidly absorbed orally and its effect peaks in 2–3 hours.
 Intrathecal baclofen pump must be refilled every 2–3 months.
 The pump can be adjusted to deliver different doses at various times during the day.
 Half-life ranges from 2–4 hours.
 He may not see full results for a month.
 The baclofen should decrease excessive reflex activity and allow muscle relaxation.
 The drug should allow for increased passive movements.
2b. Students’ answers should include the following:
 The doses should be taken with a full glass of water at evenly spaced intervals.
 Baclofen should not be stopped abruptly.
 Remind the patient to change positions slowly.
 Monitor blood glucose levels.
 Teach about a bowel program to prevent constipation and remind the patient to eat small,
frequent meals.
 Refer to Box 16-1.
3a. Students’ answers should include the following:
 Botox is botulinum toxin type A (note that only A and B are approved at this time for use
in humans).
 Botox blocks neuromuscular conduction by binding at the receptor sites and inhibiting the
release of acetylcholine.
 Gradual relaxation of the muscle occurs over 1–2 weeks, and the effects should last 3–4
months.
3b. Students’ answers should include the following:
 Temporary increase in pain
 Weakness in the muscles injected
Learning
Objective(s)
3, 4, 6
2, 6, 7
1–3
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Body aches
Dry mouth
Hoarseness
Flu-like symptoms