Explain the difference between muscle spasm and muscle spasticity

Discussion Topics, Chapter 25, Muscle Relaxants

Discussion Topics

Learning Objective(s)

1. Mr. Smith is a 35-year-old recreational bicyclist who has been diagnosed with a severe muscle tearing of the right ankle after a wreck while riding. He is being sent home with a splint and a prescription for cyclobenzaprine (Flexeril) and ibuprofen (an NSAID).

a. How will the cyclobenzaprine and ibuprofen work to help Mr. Smith’s ankle injury heal?

b. What other measures can be taken to help alleviate the muscle spasms and pain from Mr. Smith’s injury?

c. In one sentence, explain the difference between muscle spasm and muscle spasticity.

2. Mrs. Jones presented to the ALS (amyotrophic lateral sclerosis) clinic for a routine follow-up visit. She reports that the spasticity in her legs has increased and is worse at night. The health care provider prescribes dantrolene (Dantrium) to help improve those symptoms.

a. Mrs. Jones is currently taking birth control pills that contain estrogen for relief of premenstrual syndrome. What are the drug-drug interaction concerns with this combination, and what action should the nurse take?

b. What is the difference between the muscle relaxants dantrolene and baclofen?