Is this possible?? - Page 2
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- Mar 13 by jadelpnQuote from sKrisEspecially when it needs to dilute a narc???? LOLI had a patient once who stated she was allergic to saline flushes.
I am allergic to unicorns and rainbows.......
- Mar 13 by Esme12Quote from Racer15Not true, your preceptor is mistaken.....Norflex can cause in some people a condition called tartive dyskensia.Yeah, I knew it wasn't a true allergy, but when I asked my preceptor about it, he said it was impossible for a muscle relaxer to cause increased muscle spasms. The patient was asking me if Norflex was in the same category as Flexaril and I said well, yeah. I was just wondering if anyone had ever heard of muscle relaxers doing this to anyone else, my preceptor just figured this patient was drug seeking as they had had 1mg of Dilaudid less than an hour before.http://emedicine.medscape.com/article/1151826-overview medscape requires registration but it is FREE and an excellent resource/sourceis characterized by repetitive, involuntary, purposeless movements. Some examples of these types of involuntary movements include grimacing, tongue protrusion, lip smacking, puckering and pursing of the lips, and rapid eye blinking. Rapid, involuntary movements of the limbs, torso, and fingers may also occur.In some cases, an individual's legs can be so affected that walking becomes difficult or impossible.
Anti-cholinergics
Anti-cholinergics (anti-spasmodics) are class of medications prescribed for respiratory problems such as COPD, bladder control problems, Parkinson’s disease, and other reasons. The following anti-cholinergics have commonly been given to help control some symptoms of Parkinson’s, but these drugs can cause tardive dyskinesia:
• Benzhexol
• Biperiden (brand name: Akineton)
• Ethopropazine
• Orphenadrine (brand names: Norflex, Norgesic, Orphengesic)
• Procylindine - Mar 13 by jadelpnTardive Dyskenisia is a really serious side effect. And has to be treated as such as to not have permenant effects.
- Mar 15 by Racer15Quote from tewdlesYou aren't missing anything. I've been an RN for two months, my preceptor (RN for three years) and another nurse that has been an LPN for many many more, both told me this was an impossible side effect and that this patient was drug seeking. I did not feel comfortable questioning their judgement, as I am still in orientation. I was also not aware that muscle relaxers could cause tardive dyskenisia, as in school it was only related to psych drugs, so thank you!So the patient doesn't tolerate a med well and has asked for another...why is this an issue?
I guess I don't understand the question.
It doesn't really matter at this point if the reaction is an allergic response or an intolerance or a paradoxical effect...the patient doesn't want to take it because of the way it affected him and has requested another. That seems a perfectly reasonable thing to me.
Am I missing something?Esme12 likes this. - Mar 15 by BostonFNPQuote from Racer15Always question people if you don't agree!
You aren't missing anything. I've been an RN for two months, my preceptor (RN for three years) and another nurse that has been an LPN for many many more, both told me this was an impossible side effect and that this patient was drug seeking. I did not feel comfortable questioning their judgement, as I am still in orientation. I was also not aware that muscle relaxers could cause tardive dyskenisia, as in school it was only related to psych drugs, so thank you!Esme12 likes this. - Mar 17 by SadalaAlso - gastro drugs are implicated in tardive dyskenesia, including
Reglan
Compazine
Propulsid
And norflex has caused dystonia in a handful of reported pts - Mar 28 by drowningdailyI had a horrible reaction to compazine - td. Before i was a nurse. It was my first pregnancy and my husband and I were terrified. I have seen a similar reaction to Flexeril. It was a while ago. Pt put on Soma with no problems.