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Pharm Quiz 1 Term 3 > Muscleoskeletal > Flashcards

Muscleoskeletal Flashcards

0
Q

Salicylate’s/ASA. Side effects

A

(First line) (give with food)

  • side effect: GI bleeds, tinnitus, bruising, hypersensitivity, GI ulcers
  • monitor allergic reaction, edema, weight gain, constipation
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1
Q

Meds for rheumatoid arthritis

A

ASA, NSAID, COX2 inhibitor, corticosteroids and analgesics

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2
Q

ASA can’t be replaced by

A

Acetaminophen for anti inflammatory

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3
Q

ASA can decompose by

A

Humidity (vinegar smell)

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4
Q

Ecotrin

A

Enteric coated ASA

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5
Q

Bufferin

A

Buffered ASA (prevent GI upset)

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6
Q

Tylenol

A

Can be use for ASA

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7
Q

COX 2 inhibitor. Side effects

A

Celebrex (celecoxid)

  • GI upset (admin with food)
  • check allergies to ASA
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8
Q

Corticosteroids given

A

PO, IM, intra articular (teach pt not to over stress joint)

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9
Q

Long term side effects with corticosteroids

A

High sodium, low potassium, leak of calcium in bones, high hydrochloric acid, low mucus production and adrenal crisis

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10
Q

Systemic metabolic side effects with corticosteroids

A

Interference of protein/fats/carbs absorption, hyperglycemia, suppress inflammatory process and comprised immune system

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11
Q

Corticosteroids side effects

A

Low fluid, electrolyte imbalance and fat deposit (moon face, buffalo hump)

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12
Q

Adrenal crisis

A

Life threatening if steroids are stopped suddenly

-cause hypotension, muscle weakness, headache, N/V/D

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13
Q

Osteoarthritis drugs

A

Naprosyn, Feldene, Flexeril, analgesic

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14
Q

Osteoarthritis

A

Steroids usually injected intra articular due to it being a local disease

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15
Q

Analgesics used for pain relief for

A

Fractures, back injuries and hip/knee surgery

16
Q

Anti inflammatory drugs work by

A

Blocking postiglandulins

-steroids/NSAID decrease production of postiglandulins

17
Q

To decrease suppression of adrenal activity

A

Give steroids every other day than everyday

18
Q

Elderly post op

A

Start with lower dosage first than higher

19
Q

Demerol (meperidine)

A

CNS depressant

  • avoid giving with another CNS depressant and alcohol
  • Narcotic analgesic
  • monitor resp
20
Q

Opioids

A

Depress resp, CNS and addictive

21
Q

Gout drugs

A

Colchicine (treat), allopurinol/zyloprim, probenicid/benemid, anturane/sulfinpyrazone, butazolidin and indocin (reduce Uric acid and increase kidney production)
- increase fluid 3000mls daily

22
Q

Drug interaction

A

Effects of a drug are diminished by another drug

23
Q

Drug tolerance

A

Body requires increased amount to obtain relief

24
Q

Minimum effective concentration

A

Minimal amount of drug needed for response

25
Q

Polypharmacy

A

Multiply drugs being used

26
Q

Drug interaction

A

Effects of a drug are diminished by another drug

27
Q

COX2

A

Prostaglandins are produced which stimulate inflammation

28
Q

COX1

A

Considered protective in blood vessels, stomach and kidneys. (Causes constriction and dilation)

29
Q

NSAID

A

Admin with food,milk and antacid to decrease GI upset

-check history if allergic reactions

30
Q

DMARDS

A

Disease modifying anti rheumatic drug

- doesn’t treat pain or inflammation, it slows/arrest the degenerative nature of arthritis

31
Q

Gold compound

A

Reduces progression of RA, most useful before extensive degeneration of joints

32
Q

If patients allergic to ASA don’t give

A

Ibuprofen, fenoprofen, calcium and naproxen

33
Q

ASA is commonly given for

A

Is analgesic., antipyretic and anti inflammatory agents

34
Q

ASA inhibits

A

Prostaglandins which lead to elimination of sodium (sodium May be restricted)

35
Q

Patient teaching with corticosteroids

A

Decrease sodium, increase calcium, potassium supplements, carry ID bracelet and take in morning to prevent insomnia

Pharm Quiz 1 Term 3 (1 decks)

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