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Pharmacology Quiz 1 Term 3 > Musculoskeletal > Flashcards

Musculoskeletal Flashcards

0
Q

How can G.I upset be minimized ?

A

Get med with food or milk

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1
Q

Because aspirin inhibit prostaglandin what can it eliminate ?

A

Sodium and water

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2
Q

What is the #1 drug of choice for RA ?

A

Aspirin - ASA ( Acetylsalicylic Acid )

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3
Q

ASA is considered what kind of drug ? What cranial nerve does it affect ?

A

Oxotoxic

8th cranial nerve (auditory )

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4
Q

Probenecid may _______ the anticoagulant effect of heparin ?

A

Increase

So there a risk for bleeding

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5
Q

What do client receiving intra articular injection must be caution to not do what ?

A

Overly stress the joint

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6
Q

What are dietary supplement that are encourage to prevent osteoporosis ?

A

Calcium and potassium

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7
Q

What are signs and symptoms of adrenal crisis ?

A 
Hypotension 
Lethargy
Dehydration
Weakness 
Restlessness 
Nausea , vomiting , diarreah
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8
Q

Stopping corticosteroids abruptly can cause what condition ?

A

Adrenal crisis

Adrenal insufficiency

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9
Q

To decrease morning stiffness , when is the best time to administer large dose of aspirin ?

A

Bedtime

Or 1hr before rising

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10
Q

What should you do if a patient have and allergic reaction to aspirin ?

A

Stop giving immediately and notify the physician

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11
Q

What are some allergic reaction to aspirin ?

A

Urticaria (hives )
Anaphylaxis
Asthmatic response

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12
Q

When taking aspirin what should the nurse monitor ?

A

Edema

Excessive weight gain

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13
Q

What are some side effects of aspirin ?

A

Tinnitus (ringing of the ear )
GI bleeding (pain )
Blood in the stool (tarry stool )

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14
Q

Because aspirin inhibit prostaglandin , what can it eliminate ?

A

Sodium and water

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15
Q

What is IM intra articular ?

A

IM injection into the joint

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16
Q

Patient should be instructed to call and report what symptoms of taking corticosteroids ?

A

Productive cough
Angina
Worsening fatigue
Dyspnea

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17
Q

What are expected findings when glucocorticoid are used for treatment of RA ?

A

Relief of pain increase energy

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18
Q

What should be restricted for patient taking aspirin ?

A

Sodium

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19
Q

What are side effects for patient taking aspirin to develop ?

A

Constipation

Take stool softners

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20
Q

What can patient taking corticosteroids , high dose long term cause ?

A

Gastric ulceration

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21
Q

For anti inflammatory effectiveness is aspirin and acetaminophen interchangeable ?

A

No

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22
Q

How do you know aspirin is out of date ?

A

Decompose in humidity

Smell like vinegar

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23
Q

Patients taking corticosteroids bruise easily and cause what to increase

A

The fragility of capillaries

Take vitamin c to decrease bruising

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24
Q

It is most important for the nurse to assess which s/e if a patient is talking flutocorsone for Addison’s disease ?

A

Potassium depletion

25
Q

When children are on prolonged glucocorticoid therapy , what is important it monitor ?

A

Skeletal growth

26
Q

Patient recieving long term corticosteroids are at high risk for development of what visual disturbance ?

A

-Cataract (it interfere with protine reaction )

27
Q

What can you teach a patient about corticosteroids ?

A

Cataract formation
Bruise easily
Affect metabolism

28
Q

What happens when taking corticosteroids by mouth (po) ?

A

It suppresses and decrease production of protective mucus and increase HCL

29
Q

What are side effect of corticosteroids ?

A 
Hypocalcemia 
Hypernatremia 
HTN 
Buffalo hump 
Adrenal sufficiency 
Fluid retention
30
Q

What is the most common type of corticosteroids /dose ?

A

Medrol dose pack 4mg tabs

31
Q

Clients recieving long term corticosteroids therapy should be tough to carry what with them ?

A

Carry identification

32
Q

Patient recieving prednisone should be thought that it ?

A

Must be tapered to be discontinue

33
Q

What is a cox 2 inhibitor ?

A

Celebrex (celecoxib )
S/E- GI distress
Take w/food

34
Q

NSAIDs are generally contraindicated in patients with ?

A

Allergy to aspirin

35
Q

The nurse understand that and inflammatory response is

A

A normal body response to trauma or tissue injury

  • characterized by vasodilation
  • last 10-15 mins after injury occurred
36
Q

The treatment of choice for gouty arthritis is ?

A

Colchicine

37
Q

The nurse monitor the patient taking salicylate a for what potentially life threatening response ?

A

Hypersensitivity

38
Q

What effects do corticosteroids have on blood glucose levels

A

Hyperglycemia

39
Q

Patient taking aldoctone (k+ sparing diuretic ) should be on what kind if diet ?

A

Potassium restrict diet

40
Q

Methopredisone (lupus med ) should be administered at what time of the day ?

A

Early morning

8am preferred

41
Q

Allopurinol and probenecid are proscribed to treat gout because of their action as ?

A

Uricosuric agent

42
Q

The priority nursing diagnosis for client experiencing gout is ?

A

Acute pain related to uric crystal deposit

43
Q

A client prescribed probenecid(benemid ) , allopurinol (zyloprim ) , anturane (sulfinpyrazone) should be instructed to do what ?

A

Increase fluid intake

3000 cc a day

44
Q

When teaching a client with gout factors that may provoke attack , the nurse should include ?

A

High fat diet & thiazides diuretic

45
Q

What nonsteriodial anti- inflammatory agents are long term use for arthritis ?

A

Celebrex , aspirin

46
Q

What can adrenal crisis causes ?

A

Severe hypotension

Muscle weakness

47
Q

If plain aspirin cannot be tolerated what can be given ?

A
  • Ecotrin (enteric coated ) /may have a delayed therapeutic effect
  • Or buffered aspirin
48
Q

A client taking corticosteroids who experience development of hypotension , weakness , nausea , vomiting , lethargy and headache should be monitored for impending ?

A

Adrenal crisis

49
Q

Administer corticosteroids early in the day to avoid ?

A

Insomia

50
Q

Benemid (probenecid)

A

Avoid aspirin

Administer w food

51
Q

Colchicine

A

Drug of choice in acute attack

52
Q

Zyloprem

A

Decrease production of uric acid

53
Q

What if you giving a patient medication and they said they already had it , what do you do ?

A

Check the MAR

54
Q

If a patient has pain and put the call light in what is your next step ?

A

Do a pain assessment

55
Q

If you have a elderly client that just came out of surgery and you have 2 different order of med 10mg and 15mg , which do you give first ?

A

For elderly start at the lower dose first

56
Q

Demerol

A

Cns depressant

Respiration concern

57
Q

What is nepasin (NSAID )

A

Muscle relaxer

58
Q

If patient in on Coumadin or heparin and is givin aspirin , what caution needs to be taken ?

A

Bleeding

59
Q

Why do doctors sometimes prescribe cortisone therapy every other day ? Gyal

A

Minimize/decrease the supression of normal adrenal activity

Pharmacology Quiz 1 Term 3 (1 decks)

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