meds Flashcards
what patient wants from meds
less pain damage
more function QOL
what doc wants from meds
prevent comorbities, complication, delay surgery
role of PT in med adherence
education
redirect to doc
cause of disease progression
disease control can mean more PA
three barriers to med adherence
patient (health literacy / beliefs)
drug (effects)
Other (prescriber relationship, social support)
two groups of arthritis meds
analgesia
disease modifier
purpose of analgesia
control pain and some inflammation
example analgesia
steroid
NSAID
opioid
purpose disease modifier
suppress immune inflammation response
example disease modfiiers
NSAIDS (only in axial spondylitis)
Corticosteroids
DMARD
is DMARD a analgesic or disease modifier
disease modifier
Analgesics Acetamiophen
precaution for PT
none
few side effects
are w other meds
first line of defence for OA
Analgesics Acetamiophen
aspirin, ibuprofen is what
analgesic (NSAID)
PT precautions for NSAIDS
raises BP
Incrrease CV risk
DO NOT Combine two NSAIDS
NSAID used primarily in
OA, spondylitis
Codeine, fentanyl , morphine, oxy is what
opioids (analgesics)
use of opioids for
severe OA - don’t use past 6 weeks
disease, surgery, addiction, terminal illness
precautions PT with opiods
drowsiness, dizzy
can get dependent
questionable to use opioids after
6-8 weeks
should you use opiod for chronic non cancer pain
no
disease modifiers used for
inflammatory arthritis
are DMARDS slow or fast acting
slow
purpose DMARD
prevent joint damage by suppressing inflammatory pathways
how long does it take DMARD to take full effect
3 months
DMARD used for
RA, JIA, Lupus
precautions DMARD
nausea, fatigue day after
axial spondy respond to DMARD
NONONONO
function of biologics
same as DMARDS - because they haven’t responded to DMARDS
Biologics used for
RA
AXIAL SPONDY
precautions for biologics PT
serious infection
keep environment hygienic
are biologicals structurally simple
no , they are complex
are biosimilar drug identical
no - similar to biological tho but not identical
corticoid steroid use
OA, IA
precautions corticosteroids
decrease bone desnity
increase blood sugar, mm wasting, infection risk
dont combine with alcohol or lots of NSAIDS
function of corticosteroids
anti inflammation
axial spondy treatment
NSAIDS
BIOLOGICS second
