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NUR 221 > MUSCULOSKELETAL DRUGS > Flashcards

MUSCULOSKELETAL DRUGS Flashcards

1
Q

BISPHOSPHONATES

Med Class

A

BONE REABSORPTION INHIBITORS

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2
Q

BISPHOSPHONATES

Therapeutic Uses

A

BUILD BONE DENSITY

PREVENTS BONE GRACTURES

TREATS / PREVENTS OSTEOPOROSIS (FROM POSTMENOPAUSAL & LONG TERM STEROID USE)

PIAGETS DISEASE

HYPERCALCEMIA

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3
Q

BISPHOSPHONATES

Drug Names( suffix or prefix)

A

DRONATE’

ALENDRONATE
ETIDRONATE
IBANDRONATE

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4
Q

BISPHOSPHONATES

Side Effects

A

GI UPSET
NAUSEA
DIARRHEA
DYSPEPSIA
ACID REFLUX
ABDOMINAL PAIN

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5
Q

BISPHOSPHONATES

Nclex Tips / Memory Tricks

A

NEED INFO

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6
Q

BISPHOSPHONATES

Patient Education

A

TAKE WITH FULL GLASS H20 ON EMPTY STOMACH

STAY UPRIGHT 30 MIN AFTERWARDS TO PREVENT ESOPHAGITIS

SEPARATE IRON / ANTACIDS / MULTIVITS AT LEAST 30 MIN APART FROM BISPHOSPHONATES AS THEY DECREASE ABSORPTION

INCREASE INTAKE - CALCIUM / VIT D

WEIGHT BEARING EXERCIS TO PRESERVE BONE MASS

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7
Q

BISPHOSPHONATES

Nursing Admin

A

MONITOR CALCIUM B/F DURING AND AFTER THERAPY

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8
Q

BISPHOSPHONATES

Relevant Lab Values

A

CALCIUM 9-10.5

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9
Q

RALOXFENE

Med Class

A

SELECTIVE ESTROGEN RECEPTOR MODULATOR

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10
Q

RALOXFENE

Therapeutic Uses

A

TREATS / PREVENTS POSTMENOPAUSAL OSTEOPOROSIS

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11
Q

RALOXFENE

Drug Names( suffix or prefix)

A

RALOXIFENE

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12
Q

RALOXFENE

Side Effects

A

HOT FLASHES
LEG CRAMPS
DIZZINESS

INCREASED RISK BLOOD CLOTS
DVT
PE
STROKE
DO NOT GIVE TO CLIENTS HX OF THROMBOTIC EVENTS

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13
Q

RALOXFENE

Nclex Tips / Memory Tricks

A

NEED INFO

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14
Q

RALOXFENE

Patient Education

A

INCREASE INTAKE CALCIUM / VIT D

WEIGHT BEARING EXERCISES

AVOID EXTENDED PERIODS IMMOBILITY (EX TRAVELING ON PLANE)

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15
Q

RALOXFENE

Nursing Admin

A

DO NOT GIVE TO CLIENTS HX OF THROMBOTIC EVENTS

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16
Q

RALOXFENE

Relevant Lab Values

A

NNED INFO

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17
Q

CALCITONIN

Med Class

A

HORMONE

HYPOCALCEMIC AGENT

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18
Q

CALCITONIN

Therapeutic Uses

A

TREATS / PREVENTS POSTMENOPAUSAL OSTEOPOROSIS

HYPERCALCEMIA TO MUCH CALCIUM IN BLOOD - WANT IT IN THE BONES NOT THE BLOODSTREAM)

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19
Q

CALCITONIN

Drug Names( suffix or prefix)

A

CALCITONIN (SALMON)

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20
Q

CALCITONIN

Side Effects

A

GI UPSET
NAUSEA
DIARRHEA
DYSPEPSIA
ACID REFLUX
ABDOMINAL PAIN

INTRANASAL ROUTE
NASAL IRRITATION / DRYNESS

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21
Q

CALCITONIN

Nclex Tips / Memory Tricks

A

CALCITONIN HELPS TO TONE THE BONES

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22
Q

CALCITONIN

Patient Education

A

INCREASE INTAKE CALCIUM / VIT D

WEIGHT BEARING EXERCISES

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23
Q

CALCITONIN

Nursing Admin

A

MONITOR CALCIUM B/F DURING AND AFTER THERAPY

24
Q

CALCITONIN

Relevant Lab Values

A

CALCIUM 9-10.5

25
Q

DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)

Med Class

A

IMMUNOSUPPRESSANT

26
Q

DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)

Therapeutic Uses

A

RA

DMARDS - SUPPRESS IMMUNE SYSTEM

27
Q

DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)

Drug Names( suffix or prefix)

A

METHOTREXATE
SULFASALAZINE
HYDROXYCHLOROQUINE
LEFLUNOMIDE
ADALIMUMAB

28
Q

DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)

Side Effects

A

BONE MARROW SUPPRESION - INCREASED RISK FOR INFECTION
ANEMIA
LEUKOPENIA
THROMBOCYTOPENIA (PLATELETS < 100,000)

THROMBOCYTOPENIA S/S
PETECHIA
PURPURA
SIGNS OF BLEEDING
(BLEEDING GUMS / DARK STOOLS / HEMATEMESIS)

HEPATOTOXICITY

29
Q

DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)

Nclex Tips / Memory Tricks

A

NEED INFO

30
Q

DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)

Patient Education

A

DO NOT GET PREGNANT ON THIS DRUG

DECREASE CHANCE OF INFECTION
AVOID LARGE GROUPS
AVOID SICK PEOPLE
UP TO DATE VAXS (NO LIVE VAXS)
REPORT SIGNS OF INFECTION (FEVER / SORE THROAT / ETC)

NO ALCOHOL - CAN INCREASE CHANCE HEPATOTOXICITY

31
Q

DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)

Nursing Admin

A

TERATOGENIC

MONITOR PLATELETS

32
Q

DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)

Relevant Lab Values

A

MONITOR PLATELETS

33
Q

ALLOPURINOL

Med Class

A

URIC ACID INHIBITOR

34
Q

ALLOPURINOL

Therapeutic Uses

A

PREVENTS GOUT ATTACKS

DOES NOT HELP WITH ACUTE ATTACKS (TAKE NSAIDS FOR THIS - NOT ASPIRIN)

ASPIRIN AND ALLOPURINOL LEADS TO INCREASED URIC ACIDE LEVELS SO TAKE ACETAMINOPHEN INSTEAD

35
Q

ALLOPURINOL

Drug Names( suffix or prefix)

A

ALLOPURINOL

36
Q

ALLOPURINOL

Side Effects

A

NEED INFO

37
Q

ALLOPURINOL

Nclex Tips / Memory Tricks

A

GOUT - BUILD UP OF URIC ACID IN JOINTS

38
Q

ALLOPURINOL

Patient Education

A

STOP IF RASH (HYPERSENSITIVITY REACTION - STEVENS JOHNSON SYNDROME)

2-3 L H20 / DAY (URIC ACID CAN CAUSE KIDNEY STONES - KEEP EM FLUSHED)

NO ORGAN MEATS

URINE OUTPUT 2/L DAY IS GOAL

SEVERAL MONTHS TO BE EFFECTIVE

39
Q

ALLOPURINOL

Nursing Admin

A

NEED INFO

40
Q

ALLOPURINOL

Relevant Lab Values

A

NEED INFO

41
Q

COLCHICINE

Med Class

A

ANTIGOUT AGENT

42
Q

COLCHICINE

Therapeutic Uses

A

RELIEVES GOUT ATTACKS
PREVENTS GOUT ATTACKS
DOES NOT HELP WITH PAIN RELIEF (TAKE NSAIDS - NOT ASPIRIN)

COLCHICINE - NO EFFECT ON URIC ACID METABOLISM - JUST HELPS REDUCE INFLAMMATION

43
Q

COLCHICINE

Drug Names( suffix or prefix)

A

COLCHICINE

44
Q

COLCHICINE

Side Effects

A

GI UPSET
NAUSEA / VOMITING / ABDOMINAL PAIN / DIARRHEA

ADR AT RISK FOR
BONE MARROW SUPPRESSION

45
Q

COLCHICINE

Nclex Tips / Memory Tricks

A

NEED INFO

46
Q

COLCHICINE

Patient Education

A

STOP IF RASH (HYPERSENSITIVITY REACTION - STEVENS JOHNSON SYNDROME)

2-3 L H20 / DAY (URIC ACID CAN CAUSE KIDNEY STONES - KEEP EM FLUSHED)

NO ORGAN MEATS

URINE OUTPUT 2/L DAY IS GOAL

SEVERAL MONTHS TO BE EFFECTIVE

47
Q

COLCHICINE

Nursing Admin

A

NEED INFO

48
Q

COLCHICINE

Relevant Lab Values

A

NEED INFO

49
Q

SKELETAL MUSCLE RELAXANTS

Med Class

A

SKELETAL MUSCLE RELAXANT

50
Q

SKELETAL MUSCLE RELAXANTS

Therapeutic Uses

A

MS
SPINAL CORD INJURIES
ACUTE / PAINFUL MUSCULOSKELETAL ISSUES

51
Q

SKELETAL MUSCLE RELAXANTS

Drug Names( suffix or prefix)

A

BACLOFEN
CARISOPRODOL
CYCLOBENZAPRINE
DANTROLENE

52
Q

SKELETAL MUSCLE RELAXANTS

Side Effects

A

DROWSY
SEDATION
DIZZY
ALL NORMAL TO FEEL - DO NOT STOP TAKING MED

53
Q

SKELETAL MUSCLE RELAXANTS

Nclex Tips / Memory Tricks

A

MY BACK HURTS - ILL TAKE BACLOFEN

54
Q

SKELETAL MUSCLE RELAXANTS

Patient Education

A

NO ALCOHOL

DO NOT ABRUPTLY STOP (REBOUND EFFECT)

RISE SLOWLY - DIZZINESS

55
Q

SKELETAL MUSCLE RELAXANTS

Nursing Admin

A

NO ALCOHOL

DO NOT ABRUPTLY STOP (REBOUND EFFECT)

RISE SLOWLY - DIZZINESS

56
Q

SKELETAL MUSCLE RELAXANTS

Relevant Lab Values

A

NEED INFO

NUR 221 (16 decks)

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