MUSCULOSKELETAL DRUGS Flashcards
BISPHOSPHONATES
Med Class
BONE REABSORPTION INHIBITORS
BISPHOSPHONATES
Therapeutic Uses
BUILD BONE DENSITY
PREVENTS BONE GRACTURES
TREATS / PREVENTS OSTEOPOROSIS (FROM POSTMENOPAUSAL & LONG TERM STEROID USE)
PIAGETS DISEASE
HYPERCALCEMIA
BISPHOSPHONATES
Drug Names( suffix or prefix)
DRONATE’
ALENDRONATE
ETIDRONATE
IBANDRONATE
BISPHOSPHONATES
Side Effects
GI UPSET
NAUSEA
DIARRHEA
DYSPEPSIA
ACID REFLUX
ABDOMINAL PAIN
BISPHOSPHONATES
Nclex Tips / Memory Tricks
NEED INFO
BISPHOSPHONATES
Patient Education
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
BISPHOSPHONATES
Nursing Admin
MONITOR CALCIUM B/F DURING AND AFTER THERAPY
BISPHOSPHONATES
Relevant Lab Values
CALCIUM 9-10.5
RALOXFENE
Med Class
SELECTIVE ESTROGEN RECEPTOR MODULATOR
RALOXFENE
Therapeutic Uses
TREATS / PREVENTS POSTMENOPAUSAL OSTEOPOROSIS
RALOXFENE
Drug Names( suffix or prefix)
RALOXIFENE
RALOXFENE
Side Effects
HOT FLASHES
LEG CRAMPS
DIZZINESS
INCREASED RISK BLOOD CLOTS
DVT
PE
STROKE
DO NOT GIVE TO CLIENTS HX OF THROMBOTIC EVENTS
RALOXFENE
Nclex Tips / Memory Tricks
NEED INFO
RALOXFENE
Patient Education
INCREASE INTAKE CALCIUM / VIT D
WEIGHT BEARING EXERCISES
AVOID EXTENDED PERIODS IMMOBILITY (EX TRAVELING ON PLANE)
RALOXFENE
Nursing Admin
DO NOT GIVE TO CLIENTS HX OF THROMBOTIC EVENTS
RALOXFENE
Relevant Lab Values
NNED INFO
CALCITONIN
Med Class
HORMONE
HYPOCALCEMIC AGENT
CALCITONIN
Therapeutic Uses
TREATS / PREVENTS POSTMENOPAUSAL OSTEOPOROSIS
HYPERCALCEMIA TO MUCH CALCIUM IN BLOOD - WANT IT IN THE BONES NOT THE BLOODSTREAM)
CALCITONIN
Drug Names( suffix or prefix)
CALCITONIN (SALMON)
CALCITONIN
Side Effects
GI UPSET
NAUSEA
DIARRHEA
DYSPEPSIA
ACID REFLUX
ABDOMINAL PAIN
INTRANASAL ROUTE
NASAL IRRITATION / DRYNESS
CALCITONIN
Nclex Tips / Memory Tricks
CALCITONIN HELPS TO TONE THE BONES
CALCITONIN
Patient Education
INCREASE INTAKE CALCIUM / VIT D
WEIGHT BEARING EXERCISES
CALCITONIN
Nursing Admin
MONITOR CALCIUM B/F DURING AND AFTER THERAPY
CALCITONIN
Relevant Lab Values
CALCIUM 9-10.5
DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)
Med Class
IMMUNOSUPPRESSANT
DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)
Therapeutic Uses
RA
DMARDS - SUPPRESS IMMUNE SYSTEM
DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)
Drug Names( suffix or prefix)
METHOTREXATE
SULFASALAZINE
HYDROXYCHLOROQUINE
LEFLUNOMIDE
ADALIMUMAB
DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)
Side Effects
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
DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)
Nclex Tips / Memory Tricks
NEED INFO
DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)
Patient Education
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
DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)
Nursing Admin
TERATOGENIC
MONITOR PLATELETS
DMARDS (DISEASE MODIFYING ANTIRHEUMATIC DRUGS)
Relevant Lab Values
MONITOR PLATELETS
ALLOPURINOL
Med Class
URIC ACID INHIBITOR
ALLOPURINOL
Therapeutic Uses
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
ALLOPURINOL
Drug Names( suffix or prefix)
ALLOPURINOL
ALLOPURINOL
Side Effects
NEED INFO
ALLOPURINOL
Nclex Tips / Memory Tricks
GOUT - BUILD UP OF URIC ACID IN JOINTS
ALLOPURINOL
Patient Education
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
ALLOPURINOL
Nursing Admin
NEED INFO
ALLOPURINOL
Relevant Lab Values
NEED INFO
COLCHICINE
Med Class
ANTIGOUT AGENT
COLCHICINE
Therapeutic Uses
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
COLCHICINE
Drug Names( suffix or prefix)
COLCHICINE
COLCHICINE
Side Effects
GI UPSET
NAUSEA / VOMITING / ABDOMINAL PAIN / DIARRHEA
ADR AT RISK FOR
BONE MARROW SUPPRESSION
COLCHICINE
Nclex Tips / Memory Tricks
NEED INFO
COLCHICINE
Patient Education
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
COLCHICINE
Nursing Admin
NEED INFO
COLCHICINE
Relevant Lab Values
NEED INFO
SKELETAL MUSCLE RELAXANTS
Med Class
SKELETAL MUSCLE RELAXANT
SKELETAL MUSCLE RELAXANTS
Therapeutic Uses
MS
SPINAL CORD INJURIES
ACUTE / PAINFUL MUSCULOSKELETAL ISSUES
SKELETAL MUSCLE RELAXANTS
Drug Names( suffix or prefix)
BACLOFEN
CARISOPRODOL
CYCLOBENZAPRINE
DANTROLENE
SKELETAL MUSCLE RELAXANTS
Side Effects
DROWSY
SEDATION
DIZZY
ALL NORMAL TO FEEL - DO NOT STOP TAKING MED
SKELETAL MUSCLE RELAXANTS
Nclex Tips / Memory Tricks
MY BACK HURTS - ILL TAKE BACLOFEN
SKELETAL MUSCLE RELAXANTS
Patient Education
NO ALCOHOL
DO NOT ABRUPTLY STOP (REBOUND EFFECT)
RISE SLOWLY - DIZZINESS
SKELETAL MUSCLE RELAXANTS
Nursing Admin
NO ALCOHOL
DO NOT ABRUPTLY STOP (REBOUND EFFECT)
RISE SLOWLY - DIZZINESS
SKELETAL MUSCLE RELAXANTS
Relevant Lab Values
NEED INFO
