Advanced:(2026) Mobility Medications, Quizzes of Advanced Education

Mobility Medications well updated

Typology: Quizzes

2025/2026

Available from 02/07/2026

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Mobility Medications
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Exam 1
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Carbidopa/Levodopa (Sinemet) - Dose: 10-15/100mg TID
- Class: Dopaminergic medication --> better control of muscles
- Why is my pt. taking this? better control of muscles
- Major side effects: excess peripheral dopamine = dysrhythmias/ palpitations,
othrostatic hypotension, involuntary movements, hallucinations, & GI distress
Nursing considerations:
- narrow angle glaucoma
- hx melanoma
- acute psychosis
- taper off
- do not start within 2 weeks of MAIOs
- monitor liver function
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Carbidopa/Levodopa (Sinemet) - Dose: 10-15/100mg TID

  • Class: Dopaminergic medication --> better control of muscles
  • Why is my pt. taking this? better control of muscles
  • Major side effects: excess peripheral dopamine = dysrhythmias/ palpitations, othrostatic hypotension, involuntary movements, hallucinations, & GI distress

Nursing considerations:

  • narrow angle glaucoma
  • hx melanoma
  • acute psychosis
  • taper off
  • do not start within 2 weeks of MAIOs
  • monitor liver function

Benztropine (Cogentin) - Dose: 6mg/daily

  • Class: Anticholinergic medication blocks ACh activity in CNS (muscle relaxation)

Why is my pt. taking this?

  • Causes Smooth muscle to relax: reduces muscle rigidity (less effective than dopaminergic medication)
  • Also used to treat drug-induced extrapyramidal reactions to certain antipsychotic drugs

Major side effects

  • DRY UP!
  • Drowsiness
  • Constipation
  • Urinary retention
  • Dry mouth

Nursing considerations

  • Do not admin. to pt. with GI/GU obstructions
  • Anticholinergics increase fall risk
  • Increase fluids & provide sugar free gum or candy for dry mouth
  • Monitor for constipation or urinary retention

Cyclobenzaprine (Flexerine) - Dose: 5-10mg TID

  • Class: centrally acting muscle relaxers (blocks nerve impulses sent to brain, sedative effect)
  • Why is my pt. taking this? muscle spasms

Major side effects

  • Sedation
  • Dizzy/drowsiness
  • Altered CNS

Nursing considerations

  • Note pt. pain level & activities that increase/cause spasticity
  • Teach pt. to avoid activities that require alertness
  • Other CNS depressants will increase sedative effect
  • No antidote for OD
  • Not meant for long-term use; taper off

NSAIDs N: Nursing & pregnancy S: Serious bleeding A: Allergy/Asthma/Angioedema I: Impaired renal function D: Drug (anticoagulant)

Celecoxib (Celebrex) - Dose: 100-200mg daily

  • Class: Cox-2 inhibitior

Why is my pt. taking this?

  • Anti-inflammatory property due to Cox-2 specific inhibitor
  • Does not block Cox-1, therefore doesn't have GI side effects
  • Can be used routinely long-term in OA & RA

Major side effects

  • GI upset possible but much less likely
  • Cardiac effects risk (MI & CVA) only Cox-2 on market & is under scrutiny for continued use due to CV risk --> Early s/s: weight gain & swelling

Nursing considerations

  • Contraindicated with a known history of cardiac disease or stroke
  • Do not admin. to pt. with sulfa allergy
  • With any med. used for OA, monitor for improved mobility, decreased joint inflammation & increased ability to be active