Exam # 1 Medications

Question 1

How do DMARDS work?

Answer 1

Slows the progression of the disease by impacting DNA synthesis

Question 2

What are the DMARD medications?

Answer 2

Methotrexate, hydroxychloroquine, and Leflunomide

Question 3

What is methotrexate treat?

Answer 3

Lupus and RA

Question 4

What does hydroxychloroquine treat?

Answer 4

Lupus/RA

Question 5

What does leflunomide treat?

Answer 5

RA

Question 6

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

Answer 6

Methotrexate

Question 7

What are the side effects of methotrexate?

Answer 7

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

Question 8

What patient education do you give for methotrexate?

Answer 8

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

Question 9

What are the side effects of hydroxychloroquine?

Answer 9

Visual changes and photosensitivity

Question 10

What patient education should you give for hydroxychloroquine?

Answer 10

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

Question 11

What are the side effects of leflunomid?

Answer 11

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

Question 12

What education do you give for leflunomide?

Answer 12

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

Question 13

What medication group is only used to treat RA?

Answer 13

BRMs

Question 14

What are biological response modifiers?

Answer 14

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

Question 15

What are the BRM medications?

Answer 15

Etanercept, infliximab, adalimumab

Question 16

What does etanercept treat?

Answer 16

RA

Question 17

What does Infliximab treat?

Answer 17

RA

Question 18

What does adalimumab treat?

Answer 18

RA

Question 19

What are the side effects of etanercept?

Answer 19

Injection site reactions and increase risk of infection

Question 20

What patient ed should you give for etanercept?

Answer 20

Give sub cu and withhold medical if fever or infection occurs

Question 21

What are the side effects of infliximab?

Answer 21

Bradycardia, injection site reaction, increased risk of infection

Question 22

What med education should you give for infliximab?

Answer 22

Must be refrigerated and withhold if fever/infection occurs

Question 23

What are the side effects of adalimumab?

Answer 23

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

Question 24

What is hydrocortisone/prednisone used to treat?

Answer 24

MS, RA, Lupus

Question 25

What are the side effects of hydrocortisone/prednisone?

Answer 25

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

Question 26

What education do you give for corticosteroids?

Answer 26

Take with food, check glucose, avoid large crowds

Question 27

What is ibuprofen treat?

Answer 27

MS/RA

Question 28

What are the side effects of MS/RA

Answer 28

Renal insufficiency, GI adverse effects, thrombocytopenia,

Question 29

What patient ed should be given for ibuprofen?

Answer 29

Administer with food, signs of bleeding, and urinary issues

Question 30

What medications are considered opioids?

Answer 30

Butorphanol, Morphine, and Fentanyl

Question 31

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

Answer 31

Naloxone

Question 32

What should be monitored when giving opioid medications?

Answer 32

RR, HR, BP, bowel movements

Question 33

How long does naloxone work?

Answer 33

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

Question 34

What are the benzodiazepine medications?

Answer 34

Diazepam and midazolam

Question 35

What

Question 36

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

Answer 36

Flumazenil

Question 37

What do antiemetics do?

Answer 37

Prevent vomiting

Question 38

What are the antiemetic drugs?

Answer 38

Promethazine, hydroxyzine, and ondansetron

Question 39

How do muscle relaxants work?

Answer 39

Prevents your nerves from sending pain to your brain

Question 40

What are side effects of muscle relaxers?

Answer 40

Dry mouth, nervousness, DECREASED BLOOD PRESSURE

Question 41

What is ketorolac

Answer 41

A NSAID

Question 42

Side effects of ketorolac?

Answer 42

Increased bleeding, GI issues, HIGH BLOOD PRESSURE

Question 43

What is glycopyrrolate treat

Answer 43

Stomach ulcers

Question 44

What does atropine sulfate treat?

Answer 44

Dilates eyes and helps with eye pain