musculokeletal Flashcards
DMARDS
reduce joint destruction and slow disease progression
methotrexate and Sulfasalazine
nonbiological DMARDS
what lab tests are mandatory when taking methotrexate?
liver and kidney function tests, CBC
methotrexate adverse effects
Hepatic fibrosis, bone marrow suppression, GI ulceration and pneumonitis
what do you give methotrexate with to decrease liver and GI problems?
folic acid
Tumor Necrosis Factor inhibitor (TNF) action
neutralize TNF which in turn helps stop joint injury
major serious infections with Tumor Necrosis Factor inhibitors (TNF)
bacterial sepsis, invasive fungal infections, hep B, TB
Tumor Necrosis Factor inhibitors (TNF) are contraindicated in patients with which diseases?
severe heart failure, HBV, TB
examples of Tumor Necrosis Factor inhibitors (TNF)
Etanercept, humira, Remicade
which kind of people get bisphosphonates
postmenopausal osteoporosis, osteoporosis, osteoporosis in men, glucocorticoid-induced osteoporosis, hypercalcemia of malignancy, paget disease
bisphosphonates function
inhibit bone reabsorption
bisphosphonates adverse effects
ocular inflammation, osteonecrosis of jaw, femur fractures, afib
Actonel, Boniva, Evista are examples of what?
bisphosphonates