Assessment

• Assess patient for pain, muscle stiffness, and range of motion before and periodically throughout therapy

• Observe patient for idiosyncratic symptoms that may appear within minutes or hours of administration during the first dose. Symptoms include extreme weakness, quadriplegia, dizziness, ataxia, dysarthria, visual disturbances, agitation, euphoria, confusion, and disorientation. Usually subsides over several hours

• Geri: Assess geriatric patients for anticholinergic effects (sedation and weakness).

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