A patient with multiple sclerosis has been prescribed baclofen (Lioresal) to relax muscles. What should be included in the nurse's teaching about taking this drug? (Select all that apply.)
a. "Do not drive or operate machinery until the effects of the drug on you are known."
b. "Avoid crowds while on this medication."
c. "Try to prevent constipation by adequate fluid intake, eating fiber-rich foods, and using suppositories occasionally if necessary."
d. "Take a calcium supplement while on this medication."
e. "Report any shortness of breath or other respiratory problems."
f. "Do not eat grapefruit, drink grapefruit juice, or consume other products containing grapefruit."
ANS: A, C, E
Patients taking antispasmodics such as baclofen should avoid operating machinery and driving until effects are known. Measures should be provided to prevent constipation (except dantrolene). The patient should be monitored for respiratory depression. Calcium supplements are helpful with steroids, as is avoiding crowds due to infection risk. There is no restriction to grapefruit with this medication.
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