If a patient on baclofen reports excessive sedation and shallow breathing, what is the nurse's first action?

• A. Stop baclofen immediately
• B. Assess respiratory status and inform the provider
• C. Increase the dose
• D. Give a stimulant

Answer: (B)

When baclofen causes excessive sedation and shallow breathing, the first step is to assess the patient’s respiratory status and inform the provider. Check the breathing rate, depth, effort, and oxygen saturation right away, and assess airway patency and mental status. This helps determine the severity of CNS depression and whether urgent intervention or escalation is needed. There is no quick antidote for baclofen, so management relies on monitoring and provider-directed actions, with supportive care as needed. Abruptly stopping baclofen can trigger withdrawal seizures, and increasing the dose or giving stimulants would not address the breathing problem and could worsen it. Focus on assessing respiratory status, ensuring airway safety, and notifying the provider to guide the next steps.