arthritis therapy Flashcards
1
Q
side effects of NSAIDs
A
- renal function interference,
- dyspepsia, ulcer
- Bleed
allergic reaction
2
Q
Risk factors for NSAID gastropathy
A
- > 60
- Hx of ulcer
- Use of glucocorticoids
- anticoag use!
3
Q
Treating Gout flare
A
- NSAID
- ## local steroid injection
4
Q
Treating acute gout
A
- Colchicine - GIVEN EARLY within 12-24 hours
5
Q
Warning with Colchicine use
A
Renal clearance!
6
Q
Decrease the production of uric acid using
A
xanthine oxidase inhibitor - allopurinol
7
Q
In psuedogout and Hydroxyapatite what can you use
A
Nsaid and steroids
no role for allop and colchi
8
Q
3 DMARDs
A
methotrex
- sulfasalazine
- leflunomide
9
Q
3 most common effects of DMARDs
A
- GI toxicity
- bone marrow
- LIVER!
10
Q
2 things to watch out for with therapies biologics! in RA
A
- hep B and TB reactivation
11
Q
Management of peripheral Spa IS SIMilar to
A
RA
12
Q
Management of AXIAL SpA
A
NSAIDs
anti-TNF
no role for steroids