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RA > meds > Flashcards

meds Flashcards

1
Q

what patient wants from meds

A

less pain damage

more function QOL

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2
Q

what doc wants from meds

A

prevent comorbities, complication, delay surgery

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3
Q

role of PT in med adherence

A

education
redirect to doc
cause of disease progression
disease control can mean more PA

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4
Q

three barriers to med adherence

A

patient (health literacy / beliefs)
drug (effects)
Other (prescriber relationship, social support)

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5
Q

two groups of arthritis meds

A

analgesia

disease modifier

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6
Q

purpose of analgesia

A

control pain and some inflammation

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7
Q

example analgesia

A

steroid
NSAID
opioid

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8
Q

purpose disease modifier

A

suppress immune inflammation response

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9
Q

example disease modfiiers

A

NSAIDS (only in axial spondylitis)
Corticosteroids
DMARD

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10
Q

is DMARD a analgesic or disease modifier

A

disease modifier

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11
Q

Analgesics Acetamiophen

precaution for PT

A

none
few side effects
are w other meds

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12
Q

first line of defence for OA

A

Analgesics Acetamiophen

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13
Q

aspirin, ibuprofen is what

A

analgesic (NSAID)

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14
Q

PT precautions for NSAIDS

A

raises BP
Incrrease CV risk
DO NOT Combine two NSAIDS

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15
Q

NSAID used primarily in

A

OA, spondylitis

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16
Q

Codeine, fentanyl , morphine, oxy is what

A

opioids (analgesics)

17
Q

use of opioids for

A

severe OA - don’t use past 6 weeks

disease, surgery, addiction, terminal illness

18
Q

precautions PT with opiods

A

drowsiness, dizzy

can get dependent

19
Q

questionable to use opioids after

A

6-8 weeks

20
Q

should you use opiod for chronic non cancer pain

A

no

21
Q

disease modifiers used for

A

inflammatory arthritis

22
Q

are DMARDS slow or fast acting

A

slow

23
Q

purpose DMARD

A

prevent joint damage by suppressing inflammatory pathways

24
Q

how long does it take DMARD to take full effect

A

3 months

25
Q

DMARD used for

A

RA, JIA, Lupus

26
Q

precautions DMARD

A

nausea, fatigue day after

27
Q

axial spondy respond to DMARD

A

NONONONO

28
Q

function of biologics

A

same as DMARDS - because they haven’t responded to DMARDS

29
Q

Biologics used for

A

RA

AXIAL SPONDY

30
Q

precautions for biologics PT

A

serious infection

keep environment hygienic

31
Q

are biologicals structurally simple

A

no , they are complex

32
Q

are biosimilar drug identical

A

no - similar to biological tho but not identical

33
Q

corticoid steroid use

A

OA, IA

34
Q

precautions corticosteroids

A

decrease bone desnity
increase blood sugar, mm wasting, infection risk
dont combine with alcohol or lots of NSAIDS

35
Q

function of corticosteroids

A

anti inflammation

36
Q

axial spondy treatment

A

NSAIDS

BIOLOGICS second

RA (14 decks)

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