Musculoskeletal Drugs Flashcards
Allopurinol and Colchichine
Gout
Reduces Uric acid
Helps with kidney stones
Tumor lysis syndrome
Allopurinol: prevents gout, do not take for acute gout attacks
Colchicine: acute gout attacks, doesn’t not provide pain relief
Not used t reduce pain, reduces uric acid which reduces the inflammation
Naproxen used for pain relief with gout
Allopurinol keep points
Stop taking if you have a mild rash and report HCP imediatly
Mild rash can be deadly
Increase fluids too decrease uric acid = Priority
Take with full glass of water
Avoid clients with kidney and Liver disease
Monitor labs for liver and renal function
Evaluation of
effectiveness = normal uric acid levels
May take several months to work
Client needs further teaching when taking allopurinol when thy state
“I will limit my fluid intake with this medication”
Calcium carbonate
Osteoporosis
Bone health to make bones stronger
Take in divided doses, less than 500mg
Magnesium and vitamin D help absorption of calcium
No need for blood tests
Take with food or within 1 hour off meals
Calcium carbonate Common side effects
Constipation = Normal
Add fluid and ambulation
High calcium = high constipation
Low calcium = diarrhea
Alendronate and Risedronate
Given for treatment osteoporosis
Inhibits bone reabsorption
Drink worth 8oz of fluid
Take on empty stomach
Esophagitis = sit up 30min after taking to prevent espoogitis
Monitor bone density
Muscle relaxers
Danteolene
Cyclobenzaprine
Carisoprodpol
Baclofen
All drugs can cause sedation and drowniess
Don’t stop taking if client reports dizziness upon changing positions
No alcohol
Do not abruptly stop
Danteolene
Muscle spasticity
Spinal cord Injuries
cereal palsy
Stroke
Acts directly on the muscles to prevent release of calcium and decreases force of contraction on muscles
Side effect: Liver toxicity and sedation (report toxicity and jaundice)
No need to report sedation or drowsiness
Contraindicated with MS and cirrhosis
Cyclobenzaprine and Carisoprodol
Given to reduce muscles spasms after surgeries on open fractures
Carisoprodol Side effects and patient teaching
Risk for dependence
Drowsiness and sedation
Tapper off medication do not stop abruptly
Avoid beer and alcohol
Baclofen
Muscle spasms
Spinal cord injuries
Cerebral palsy
MS
Decreases flexor and extender
Really relaxes the body = low and slow
Side effects: constipation, increase fluids and fibre
Orthostatic hypotenson and dizziness when standing is expected
Slow position changes
Which teaching should the nurse provide for a patient who is prescribed calcium carbonate for a new diagnose of osteoporosis?
Always take calcium carbonate in divided doses less than 500mg per dose
Continue taking vitamin D supplements
Which teaching should the nurse include for a patient newly prescribed allopurinol for the treatment off gout?
Report the development of any new rash to your provider immediately
You may continue to treat pain associated with acute attacks with ibuprofen
Allopurinol helps prevent the build up of uric acid which leads to acute attacks
When providing education to a patient who is. newly prescribed cyclobenzaprine which instructions should be included?
Do not stop taking medication abruptly
