Medications

Question 1

NSAID suffixes

Answer 1

-profen
-oxicam
-coxib

Question 2

NSAID considerations

Answer 2

strong link to delayed union or non-union of fractures
-low dose and short duration seems to have no effect
-pediatric patients not affected

can cause GI distress or ulcers

Question 3

NSAID medication examples

Answer 3

aspirin
ibuprofen(Advil, Motrin)
naproxen(Aleve)
meloxicam
diclofenac(Voltaren)
celecoxib(Celebrex)

Question 4

Polypharmacy definition and considerations

Answer 4

defined as 4 or more falls

make sure you refer to physician or pharmacist if pt is having unexplained falls and polypharmacy
-especially relevant if pt has multiple prescribing physicians or goes to multiple pharmacies, as they may have an incomplete picture

Question 5

Drug classes most likely to cause falls

Answer 5

those for cardiovascular disease
-digoxin
-type 1a antiarrhythmics
-diuretics

those w/ more psychoactive properties
-benzodiazepines
-antidepressants
-antiepileptics
-antiparkinsonian
-antipsychotics

ALSO
-opiods
-urological spasmolytics

Question 6

Benzodiazepine suffixes and examples

Answer 6

-azepam
-azolam

alprazolam(Xanax)
lorazipam(Ativan)
clonazepam(Klonopin)
diazepam(Valium)
temazepam(Restoril)

Question 7

Opioid side effects

Answer 7

-constipation
-dizziness
-nausea
-drowsiness
-decreased RR

Question 8

Gabapentin(neurontin) side effects

Answer 8

-drowsiness
-dizziness
-nausea
-diarrhea

Question 9

Opioid examples

Answer 9

hydrocodone(Vicodin)
oxycodone(Oxycontin, Percocet)
oxymorphone
morphine
codeine
fentanyl
tramadol

Question 10

Antispasmodic side effects

Answer 10

drowsiness, dizziness, headache

Question 11

Antispasmodic examples

Answer 11

diazepam(Valium)
carisoprodol(Soma)
cyclobenzaprine(Flexeril)
metaxalone(Skelaxin)

Question 12

Beta blocker side effects

Answer 12

decreased HR/BP, fatigue, dizziness

***BORG RPE is more approriate than HR for dosing aerobic exercise

Question 13

Beta blocker examples

Answer 13

metoprolol(Lopressor)
carvedilol(Coreg)
atenolol

Question 14

Fluoroquinlone side effects

Answer 14

can cause ruptures and tendinopathy
-most commonly achilles, quadriceps, patellar, wrist extensors(at lateral elbow), biceps, supraspinatus

Question 15

Fluroquinolone examples

Answer 15

-floxacin

ciprofloxacin(Cipro)
norfloxacin(Noroxin)
ofloxacin(Floxin)
levofloxacin(Levoquin)
moxifloxacin(Avelox)
gemifloxacin(Factive)

Question 16

Statin side effects

Answer 16

-associated w/ tendinopathy and rupture at achilles, quadriceps, distal biceps

also rhabdomyolysis(RARE) and myalgias(at calves and thighs)

Question 17

Statin examples

Answer 17

-statin

atorvastatin(Lipitor)
fluvastatin(Lescol XL)
lovastatin(Altoprev)
rosuvastatin(Crestor)
simvastatin(Zocor, Flolipid)

Question 18

Glucocorticoids

Answer 18

long term ORAL use (3 months) associated w/ tendon ruptures and lower BMD(osteoporosis)
-especially those w/ chronic inflammatory diseases(lupus, psoriasis, RA)
-particularly spinal fractures in regards to BMD
-achilles, quadriceps, patellar
-rupture after injection is RARE

Question 19

Glucocorticoid examples

Answer 19

-methasone
-sonide
-isone
-prednisolone

cortisone, dexaethasone, hydrocortisone, methylprednisolone, prednisolone, prednisone, triamcinolone