CMTO Consideration of the Effects of
Medicine and Surgery with Correct
Answers.
Discuss the importance for careful history taking related to all medications. - Answer There
are common conditions that can sometimes require massage therapists to alter their treatment
plans
"one common medication that may require treatment alterations is anticoagulant medications
[blood thinners] like Warfarin because they may make your clients more prone to bruising and
internal bleeding."
You should consider altering treatment plans for anyone taking pain relievers. When people
take pain relieving medications, they may experience altered pain perception, low blood
pressure, dizziness, and bleeding or bruising.
Pain relievers, such as analgesics - Answer (acetaminophen, tramadol, and narcotics)
non-steroidal anti-inflammatory drugs - Answer (NSAIDs, such as ibuprofen and naproxen)
Corticosteroids, too, can cause
. - Answer swelling of the legs, thinning of the skin, tendency to bruise, high blood pressure
and a weakened immune response.
If your client is taking corticosteroids, avoid - Answer the injection site during massage (if
medications are injected), and avoid deep tissue work, opting for more gentle strokes instead
Long-term use of corticosteroids can cause - Answer osteoporosis, which increases risk of
bone fractures.
Uncontrolled diabetes can cause - Answer excessive thirst and urination, fatigue, wounds
that are slow to heal, frequent infections, blurred vision, and tingling in the hands and feet.
, Most people with diabetes will take some kind of medication. Common types are insulin, -
Answer metformin (Glucophage and Glumetza are two brand names) and thiazolidinediones
(Actos and Avandia are two brand names)
When scheduling massages, make sure to do so during - Answer peak availability of the
medications, and make sure your client has eaten prior to the session.
Some of the side effects of diabetes medications are - Answer numbness and tingling,
especially in the extremities, easy bruising, swelling, muscle pain, back pain and abdominal
pain.
When you are performing massage on a person with diabetes, - Answer look for any
wounds, and ask whether your client is experiencing any sensory loss or alterations, tingling or
numbness, leg cramps, fatigue and muscle weakness.
Clients who are insulin dependent should always have a source of sugar (glucose) available. In
case your client forgets, you should keep - Answer fruit juice or regular (not diet) soda on
hand in case your client's blood sugar drops. Call 911 if your client is drowsy or confused, or is
difficult to rouse after massage.
clients who take Diabenese or Glucotrol in combination with other drugs, such as non-steroidal
antiinflammatory drugs (NSAIDs), aspirin, ACE-inhibitors, SSRIs, and even ginseng supplements,
- Answer are at higher risk of hypoglycemia, so be especially aware of your client's symptoms
and behaviors if he or she is taking a combination of drugs.
The most common first-line treatment for fibromyalgia is - Answer antidepressant
medication because it can help relieve pain, reduce fatigue and improve sleep problems.
antidepressants can cause - Answer dizziness, drowsiness, and fatigue, along with a
tendency to bruise, depressed stretch receptor response and altered temperature perception.
px on antidepressants need to be Watched - Answer for bruising, and avoid deep tissue work
if bruising is present or occurs during massage. Also, be aware of the potential for over
stretching muscles. Watch for signs of dizziness, drowsiness, altered consciousness and fatigue,
and adapt your massage therapy session as necessary.
Pain relieving medications for fibromyalgia (generally analgesics) may also be prescribed, as well
as - Answer muscle relaxants (such as Soma, Parafon, Forte, Flexeril, Skelaxin, and Myolin) or
anticonvulsants (often Lyrica is prescribed for fibromyalgia).
Parkinson's disease is a nervous system disorder that affects movement, often developing
gradually and beginning with a small hand tremor and progressing over time. The most