Exam # 1 Medications Flashcards

1
Q

How do DMARDS work?

A

Slows the progression of the disease by impacting DNA synthesis

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2
Q

What are the DMARD medications?

A

Methotrexate, hydroxychloroquine, and Leflunomide

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3
Q

What is methotrexate treat?

A

Lupus and RA

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4
Q

What does hydroxychloroquine treat?

A

Lupus/RA

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5
Q

What does leflunomide treat?

A

RA

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6
Q

What DMARD is commonly used as a first line of defense for Lupus/RA?

A

Methotrexate

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7
Q

What are the side effects of methotrexate?

A

Bone marrow suppression, Gi/mouth ulcers, bleeding, hypotension, and renal failure

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8
Q

What patient education do you give for methotrexate?

A

Can take 2 to 4 months to work, use contraceptives because the drug will cause birth defects, don’t take live vaccines, avoid large crowds, and take with folic acid

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9
Q

What are the side effects of hydroxychloroquine?

A

Visual changes and photosensitivity

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10
Q

What patient education should you give for hydroxychloroquine?

A

Visit eye doctor to determine baseline before taking medication and recheck every 6 months to ensure the medication is not damaging eye site, don’t take live vaccines, use contraceptives

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11
Q

What are the side effects of leflunomid?

A

Thrombocytopenia, chest pain, palpitations, ENT problems, dry eyes, hepatatoxic,

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12
Q

What education do you give for leflunomide?

A

Screen for TB??, use condoms when fucking, may take 4 to 6 weeks to work and up to 3 months to

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13
Q

What medication group is only used to treat RA?

A

BRMs

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14
Q

What are biological response modifiers?

A

Binds to antigen that is involved in the inflammatory response and immune response

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15
Q

What are the BRM medications?

A

Etanercept, infliximab, adalimumab

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16
Q

What does etanercept treat?

A

RA

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17
Q

What does Infliximab treat?

A

RA

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18
Q

What does adalimumab treat?

A

RA

19
Q

What are the side effects of etanercept?

A

Injection site reactions and increase risk of infection

20
Q

What patient ed should you give for etanercept?

A

Give sub cu and withhold medical if fever or infection occurs

21
Q

What are the side effects of infliximab?

A

Bradycardia, injection site reaction, increased risk of infection

22
Q

What med education should you give for infliximab?

A

Must be refrigerated and withhold if fever/infection occurs

23
Q

What are the side effects of adalimumab?

A

Cardiac issues, gi bleed, hepatoxicity, bronchospasms, and injection site reaction

24
Q

What is hydrocortisone/prednisone used to treat?

A

MS, RA, Lupus

25
Q

What are the side effects of hydrocortisone/prednisone?

A

Fractures, GI upset, insomnia, adrenal insufficiency, joint damage, electrolyte imbalance, increased risk of infection

26
Q

What education do you give for corticosteroids?

A

Take with food, check glucose, avoid large crowds

27
Q

What is ibuprofen treat?

A

MS/RA

28
Q

What are the side effects of MS/RA

A

Renal insufficiency, GI adverse effects, thrombocytopenia,

29
Q

What patient ed should be given for ibuprofen?

A

Administer with food, signs of bleeding, and urinary issues

30
Q

What medications are considered opioids?

A

Butorphanol, Morphine, and Fentanyl

31
Q

If a patient is having an overdose on an opioid what antidote should be given?

A

Naloxone

32
Q

What should be monitored when giving opioid medications?

A

RR, HR, BP, bowel movements

33
Q

How long does naloxone work?

A

The drug works for for 30 minutes to 2 hours…any pain medication given in that window will have no effect on pain suppression

34
Q

What are the benzodiazepine medications?

A

Diazepam and midazolam

35
Q

What

A
36
Q

If patient is overdosing on benzodiazepines what antidote should be given?

A

Flumazenil

37
Q

What do antiemetics do?

A

Prevent vomiting

38
Q

What are the antiemetic drugs?

A

Promethazine, hydroxyzine, and ondansetron

39
Q

How do muscle relaxants work?

A

Prevents your nerves from sending pain to your brain

40
Q

What are side effects of muscle relaxers?

A

Dry mouth, nervousness, DECREASED BLOOD PRESSURE

41
Q

What is ketorolac

A

A NSAID

42
Q

Side effects of ketorolac?

A

Increased bleeding, GI issues, HIGH BLOOD PRESSURE

43
Q

What is glycopyrrolate treat

A

Stomach ulcers

44
Q

What does atropine sulfate treat?

A

Dilates eyes and helps with eye pain