INDEX NURS 2236 Clinical Form 3: Clinical Medications Worksheet

(You will need to made additional copies of these forms)

Generic Trade Classification Dose Route Time/Frequency
Name Name skeletal muscle 1.5g PO qid initially
methocarbamol Robaxin relaxants up to 8 g per day for 2-3 days
4-4.5g per day in 3-6 divided does

Peak Onset Duration For IV meds, compatability with IV drips and/or solutions
2hr 30 min unknown
Why is your patient taking this medication?

Mechanism of action and indications Nursing Implications (what to focus on)

Adjunctive treatment of muscle spasm associated with Contraindications/warnings/interactions Hypersensitivity to polyethlene
acute painful musculoskeletal conditions (with rest and glycol (paternal). Renal impairment (paternal form). Use cautiously in
physical therapy). pregnancy, lactation, and children.

Skeletal muscle relaxation

Common side effects SEIZURES (IV,IM), dizziness, drowsiness,
lighth-headednes, blurred vision, nasal congestion, bradycardia,
Skeletal muscle relaxation, probably as a result of hypotension, anorexia, GI upset, nausea, urine (brown, black, or green),
CNS depression flushing, pruritus, rashes urticaria, allergic reactions, including
ANAPHYLAXIS (IM, IV use only), fever.

Interactions with other patient drugs, OTC, or herbal
medicines (ask patient specifically)
Additive CNS depression, CNS depressants, alcohol, anti-
histamines, opioid analgesics, and sedative/hypnotics.
Nursing Process - Assessment
(Pre-administration assessment
Vital signs
Assess patient for pain, muscle stiffness and
range of motion
Lab value alterations caused by medicine
Be sure to teach the patient the following about this medication
Advise patient to take medication exactly as directed; missed does should
be taken within 1hr; if not return to regular dosing schedule.
Comply with additional therapies prescribed for muscle spasm. Instruct
to change positions slowly to minimize orthostatic hypotension. Avoid
alcohol and other CNS depressants.
Assessment Evaluation
Why would you hold or not give Check after giving
this med?
allergic reactions Decreased musculoskeletal pain and
muscle spasticity.
Increased range of motion.