Page 2152 - Saunders Comprehensive Review For NCLEX-RN

e. Instruct the client to wear protective
clothing when in the sun.
f. Instruct the client to notify the PHCP if
rash, bloody or tarry stools, or yellow
discoloration of the skin or eyes occurs.
6. Diazepam
a. Acts on the CNS to suppress spasticity;
does not affect skeletal muscle directly

b. Sedation commonly occurs.

7. Methocarbamol
a. The parenteral form is contraindicated
in clients with renal impairment.
b. The parenteral form can cause
hypotension, bradycardia,
anaphylaxis, and seizures, especially
when the medication is given too
rapidly.
c. Monitor site for extravasation, which
can result in thrombophlebitis and
tissue sloughing.
d. Methocarbamol may cause the urine to
turn brown, black, or green.
e. Inform the client to notify the

PHCP if blurred vision, nasal
congestion, urticaria, or rash occurs.
8. Tizanidine and metaxalone: Can cause liver damage
9. Orphenadrine has significant anticholinergic
(atropine-like) effects and should be used with
caution in clients with a history of urinary retention,
angle-closure glaucoma, or increased intraocular
pressure.

Safety is a primary concern when the client is taking a skeletal

muscle relaxant, because these medications cause drowsiness.
II. Antigout Medications
A. Description
1. Antigout medications (allopurinol, colchicine,
probenecid) reduce uric acid production and increase
uric acid excretion (uricosuric) to prevent or relieve
gout or to manage hyperuricemia.
2. Nonsteroidal antiinflammatory drugs (NSAIDs) are
used for their antiinflammatory effects and to relieve
pain during an acute gouty attack (see Chapter 59 for
information on NSAIDs).

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