Muscular dysfunction (Muscular spasm, fibromyalgia): Assess:

While patients are on medications, monitor their vital signs such as blood pressure (both reclined and standing), pulse, and respiratory rate. Due to the medications’ effects on the liver, monitor hepatic laboratory results such as AST, ALT, bilirubin, creatinine, LDH, and alkaline phosphorus Assess the patient for relief of symptoms of pain and/or muscle spasms.