NSG 124 Pharmacology Drug Card Template |
Nursing-Approved, Easy-Fill Format
, NSG124 Pharmacology Drug Card Template
Nursing Considerations: Adverse Effects
What is the nurse going to do/teach/assess?
Assess: CNS: dizziness, weakness, fatigue,
MS: assess for spasms, spasticity, improvement should occur drowsiness, headache,
Abrupt discontinuation: serious adverse reactions may occur disorientation, insomnia,
(intrathecal) paresthesias, tremors, seizures
Intrathecal: Have emergency equipment nearby; assess test dose CV: Hypotension, bradycardia,
and titration; if no response, check pump, catheter for proper flushing, edema
functioning EENT: nasal congestion, blurred
, B/P, weight, blood glucose, hepatic function periodically vision, tinnitus
Seziures: for increased seizure activity with seizure disorders; GI: Nausea, constipation, dry mouth,
product decreases seizure threshold; EEG in epileptic patients anorexia, weight gain
Withdrawl symptoms: agitation, tachycardia, insomnia, GU: urinary frequency, hematuria
hyperpyrexia INTEG: rash, pruritus
Allergic reactions: rash, fever, respiratory distress RESP: Dyspnea
Severe weakness, numbness in the extremities MISC: Hypersensitivity, swearing,
CNS depression: dizziness, drowsiness hyperglycemia
Teach patient/family
Do not discontinue medication quickly; hallucinations, spasticity,
tachycardia will occur; product should be tapered off over 1-2
weeks, especially intrathecal form
Do not take with alcohol or other CNS depressants
Avoid hazardous activities if drowsiness, dizziness occur; to rise
slowly to prevent orthostatic hypotension
Avoid using OTC medications; not to take cough preparations,
antihistamines unless directed by prescriber, to take PO with food
or milk
Notify prescriber if nausea, headache, tinnitus, insomnia,
confusion, constipation, inadequate or painful urination continues
MS may require 1-2 months for full response
Notify prescriber if pregnancy is planned or suspected, avoid
breastfeeding
, NSG124 Pharmacology Drug Card Template
Who takes this? How does it work? Pharmacokinetics/How is it given?
People who need relief of Reduces tonic muscle activity at the PO: onset 1 hour, peak 308 hours,
muscle spasms brain stem, may be related to duration 12-24 hours, half-life 1-3
antidepressant effects days
Available forms: tabs 5mg, 7.5mg
10mg and extended release tabs
15mg and 30mg
Depending on why the medication is
used and how its administer and who
its given to, the dosage changes
Contraindications Drug & Class How does the nurse know it is
working?
Acute recovery phase of MI, Cyclobenzaprine Decreased pain, spasticity, relief of
dysrhythmias, heart block, muscle spasms
HF, hypersensitivity, (Amrix and Fexmid)
intermittent porphyria,
thyroid disease, QT Class: Skeletal muscle relaxant, central
prolongation, within 14 days acting
of MAOIs
Precautions: pregnancy,
breastfeeding, geriatric Page: 328
patients, renal/hepatic
disease, addictive
personality, CV disease,
serotonin syndrome
Nursing-Approved, Easy-Fill Format
, NSG124 Pharmacology Drug Card Template
Nursing Considerations: Adverse Effects
What is the nurse going to do/teach/assess?
Assess: CNS: dizziness, weakness, fatigue,
MS: assess for spasms, spasticity, improvement should occur drowsiness, headache,
Abrupt discontinuation: serious adverse reactions may occur disorientation, insomnia,
(intrathecal) paresthesias, tremors, seizures
Intrathecal: Have emergency equipment nearby; assess test dose CV: Hypotension, bradycardia,
and titration; if no response, check pump, catheter for proper flushing, edema
functioning EENT: nasal congestion, blurred
, B/P, weight, blood glucose, hepatic function periodically vision, tinnitus
Seziures: for increased seizure activity with seizure disorders; GI: Nausea, constipation, dry mouth,
product decreases seizure threshold; EEG in epileptic patients anorexia, weight gain
Withdrawl symptoms: agitation, tachycardia, insomnia, GU: urinary frequency, hematuria
hyperpyrexia INTEG: rash, pruritus
Allergic reactions: rash, fever, respiratory distress RESP: Dyspnea
Severe weakness, numbness in the extremities MISC: Hypersensitivity, swearing,
CNS depression: dizziness, drowsiness hyperglycemia
Teach patient/family
Do not discontinue medication quickly; hallucinations, spasticity,
tachycardia will occur; product should be tapered off over 1-2
weeks, especially intrathecal form
Do not take with alcohol or other CNS depressants
Avoid hazardous activities if drowsiness, dizziness occur; to rise
slowly to prevent orthostatic hypotension
Avoid using OTC medications; not to take cough preparations,
antihistamines unless directed by prescriber, to take PO with food
or milk
Notify prescriber if nausea, headache, tinnitus, insomnia,
confusion, constipation, inadequate or painful urination continues
MS may require 1-2 months for full response
Notify prescriber if pregnancy is planned or suspected, avoid
breastfeeding
, NSG124 Pharmacology Drug Card Template
Who takes this? How does it work? Pharmacokinetics/How is it given?
People who need relief of Reduces tonic muscle activity at the PO: onset 1 hour, peak 308 hours,
muscle spasms brain stem, may be related to duration 12-24 hours, half-life 1-3
antidepressant effects days
Available forms: tabs 5mg, 7.5mg
10mg and extended release tabs
15mg and 30mg
Depending on why the medication is
used and how its administer and who
its given to, the dosage changes
Contraindications Drug & Class How does the nurse know it is
working?
Acute recovery phase of MI, Cyclobenzaprine Decreased pain, spasticity, relief of
dysrhythmias, heart block, muscle spasms
HF, hypersensitivity, (Amrix and Fexmid)
intermittent porphyria,
thyroid disease, QT Class: Skeletal muscle relaxant, central
prolongation, within 14 days acting
of MAOIs
Precautions: pregnancy,
breastfeeding, geriatric Page: 328
patients, renal/hepatic
disease, addictive
personality, CV disease,
serotonin syndrome
