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] Generic Name: ___________Baclofen__________Trade Name: ___________Kemstro________________ Pronunciation: ______________(bakloe-fen)_________ Classification / Therapeutic use of Medication: _Central-Acting Skeletal muscle Relaxant_______

Source/Page #__Pearson 150


Patient Dose Pt. Route PO BID Pt. Frequency of Administration Recommended Route & Dosage Maximum Safe Daily Dose or dosage range Time/s Due (PNC shift)

10mg

Uses: Why is your patient getting this medication related to their diagnosis and/or condition? For relief of painful spasms due to Multiple Sclerosis.

5mg t.i.d, may increase by 5mg/dos q3days prn (max 80mg/day) Administration Considerations Give with food or milk to avoid GI distress

Contraindications or Cautious Use Contraindications: Coagulopathy, bacteremia, intramuscular or intrathecal administration, SC administration; lactation. Cautious Use: Impaired renal and hepatic function; bipolar disorder, psychosis, schizophrenia, seizure disorders, seizures, stroke, cerebral palsy, depression, diabetes mellitus, dialysis, head trauma, PKU, epilepsy, thrombocytopenia; psychiatric or brain disorders, older adults, pregnancy category C, children younger than 2 Nursing Implications: Assessment & Drug Effects Supervise ambulation. Lab Tests: Baseline and periodic blood sugar, haptic function tests, and urine Monitor for orthostatic hypotension. Fall precautions. Observe carefully for CNS side effects: mental confusion, depression, hallucinations. Older adults are especially sensitive. Monitor patients with epilepsy.

Interactions: Is this medication incompatible with any medications, OTCs, herbals or foods? _______No _____Yes Explain: DRUG: Alcohol, CNS depressants, MAOIS, antihistamines compound CNS depression, baclofen may increase blood glucose levels, making t necessary to increase dosage of sulfonylureas, insulin.

Adverse Effects/ Side Effects (limit to ten) 1. Transient drowsiness 2. Vertigo 3. Dizziness 4. Hypotension 5. Tinnitus 6. Nasal Congestion 7. Blurred Vision 8. Mydriasis 9. Nausea 10. Constipation

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] Patient and/or Family Education CNS depressant effects Monitor blood glucose for loss of glycemic control if diabetic. Do not drive or engage in other potentially hazardous activities until the response to drug is known. Do not self-dose with OTC drugs without physician approval. Do not stop this drug unless directed to by physician. If an IV medication (IVP, IVPB) Administration Considerations:

Is the IV medication incompatible with other IV drips and/or solutions: ______No _____Yes Explain:

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