A child is prescribed baclofen (Lioresal) via intrathecal pump to treat severe muscle spasms related to cerebral palsy. What teaching does the nurse provide the child and parents?
A.
Do not let this prescription run out.
B.
The medication may cause gingival hyperplasia.
C.
Periodic serum drug levels are needed.
D.
Watch for excessive facial hair growth.
ANS: A
Abrupt discontinuation of intrathecal baclofen can cause drastic effects, such as high fever, altered mental status, and exaggerated rebound spasticity and muscle rigidity. The parents should ensure there is a supply of this drug on hand at all times to avoid these effects. Gingival hyperplasia and hirsutism are side effects of phenytoin (Dilantin). Serum drug levels are not obtained with an intrathecal medication.
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