A client with muscle spasticity receives a prescription for baclofen. Which information provided by the client requires additional instruction by the nurse?
A.
Use stool softener as needed.
B.
Avoid ingestion of alcohol.
C.
Discontinue when spasms cease.
D.
Take medication with meals.
The correct answer and Explanation is :
The correct answer is C. Discontinue when spasms cease.
Explanation:
Baclofen is a muscle relaxant prescribed to manage muscle spasticity, often seen in conditions like multiple sclerosis or spinal cord injuries. It acts by reducing the transmission of signals in the nervous system that cause muscle stiffness and spasms. Proper client education is essential to prevent complications and ensure the safe use of the medication.
Discontinuing Baclofen Abruptly:
One of the most important points regarding baclofen is that it should not be discontinued abruptly, even if muscle spasms subside. Abrupt cessation can lead to severe withdrawal symptoms, including increased spasticity, hallucinations, seizures, and, in rare cases, organ failure or death. This means if a client states they will stop taking baclofen as soon as their spasms resolve, additional instruction is necessary. The nurse should inform the client that any changes in medication dosage or discontinuation must be done gradually and under medical supervision.
Other Options:
- A. Use stool softener as needed:
Constipation is a common side effect of baclofen due to its relaxing effect on smooth muscles, including the gastrointestinal tract. Using a stool softener is an appropriate intervention, and no further instruction is required. - B. Avoid ingestion of alcohol:
Baclofen has a sedative effect, and combining it with alcohol can increase the risk of CNS depression, leading to dizziness, drowsiness, or impaired motor coordination. This instruction is correct and requires no further clarification. - D. Take medication with meals:
Taking baclofen with meals can help minimize gastrointestinal upset, which is another common side effect. This instruction is appropriate and doesn’t require additional clarification.
Therefore, the client’s understanding about discontinuation (option C) requires correction.