Exam # 1 Medications Flashcards
How do DMARDS work?
Slows the progression of the disease by impacting DNA synthesis
What are the DMARD medications?
Methotrexate, hydroxychloroquine, and Leflunomide
What is methotrexate treat?
Lupus and RA
What does hydroxychloroquine treat?
Lupus/RA
What does leflunomide treat?
RA
What DMARD is commonly used as a first line of defense for Lupus/RA?
Methotrexate
What are the side effects of methotrexate?
Bone marrow suppression, Gi/mouth ulcers, bleeding, hypotension, and renal failure
What patient education do you give for methotrexate?
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
What are the side effects of hydroxychloroquine?
Visual changes and photosensitivity
What patient education should you give for hydroxychloroquine?
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
What are the side effects of leflunomid?
Thrombocytopenia, chest pain, palpitations, ENT problems, dry eyes, hepatatoxic,
What education do you give for leflunomide?
Screen for TB??, use condoms when fucking, may take 4 to 6 weeks to work and up to 3 months to
What medication group is only used to treat RA?
BRMs
What are biological response modifiers?
Binds to antigen that is involved in the inflammatory response and immune response
What are the BRM medications?
Etanercept, infliximab, adalimumab
What does etanercept treat?
RA
What does Infliximab treat?
RA
What does adalimumab treat?
RA
What are the side effects of etanercept?
Injection site reactions and increase risk of infection
What patient ed should you give for etanercept?
Give sub cu and withhold medical if fever or infection occurs
What are the side effects of infliximab?
Bradycardia, injection site reaction, increased risk of infection
What med education should you give for infliximab?
Must be refrigerated and withhold if fever/infection occurs
What are the side effects of adalimumab?
Cardiac issues, gi bleed, hepatoxicity, bronchospasms, and injection site reaction
What is hydrocortisone/prednisone used to treat?
MS, RA, Lupus
What are the side effects of hydrocortisone/prednisone?
Fractures, GI upset, insomnia, adrenal insufficiency, joint damage, electrolyte imbalance, increased risk of infection
What education do you give for corticosteroids?
Take with food, check glucose, avoid large crowds
What is ibuprofen treat?
MS/RA
What are the side effects of MS/RA
Renal insufficiency, GI adverse effects, thrombocytopenia,
What patient ed should be given for ibuprofen?
Administer with food, signs of bleeding, and urinary issues
What medications are considered opioids?
Butorphanol, Morphine, and Fentanyl
If a patient is having an overdose on an opioid what antidote should be given?
Naloxone
What should be monitored when giving opioid medications?
RR, HR, BP, bowel movements
How long does naloxone work?
The drug works for for 30 minutes to 2 hours…any pain medication given in that window will have no effect on pain suppression
What are the benzodiazepine medications?
Diazepam and midazolam
What
If patient is overdosing on benzodiazepines what antidote should be given?
Flumazenil
What do antiemetics do?
Prevent vomiting
What are the antiemetic drugs?
Promethazine, hydroxyzine, and ondansetron
How do muscle relaxants work?
Prevents your nerves from sending pain to your brain
What are side effects of muscle relaxers?
Dry mouth, nervousness, DECREASED BLOOD PRESSURE
What is ketorolac
A NSAID
Side effects of ketorolac?
Increased bleeding, GI issues, HIGH BLOOD PRESSURE
What is glycopyrrolate treat
Stomach ulcers
What does atropine sulfate treat?
Dilates eyes and helps with eye pain
