Musculoskeletal Drugs and Labs Flashcards

1
Q

Dual X-Ray Absorptiometry

A

Diagnostic to measure bone mineral density

  • T Score (-1 - -2.4) = osteopenic
  • T Score (< -2.5) = osteoporosis
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2
Q

Osteoporosis intervention goal

A

Prevent Fractures

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3
Q

Calcium and Vitamin D3

A
  • Os Cal
  • Citracal
    1-1.5 g in divided doses
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4
Q

Raloxifine

A

SERM - selective estrogen receptive modulators

- Mimics estrogen to prevent bone loss

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5
Q

Alendronate (Fosamax), Risedronate (Actonel), Ibandronate (Bonival)

A

Biphosphates

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6
Q

Side effect of biphosphates

A

Esophagitis

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7
Q

How should you take biphosphates?

A
  • Take on an empty stomach
  • First thing in the AM
  • With full glass of water
  • Remain upright/sitting for 30 min
    Report difficulty swallowing, esophagitis
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8
Q

Drug of choice for osteoarthritis pain

A
  • Tylenol (acetaminophen)
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9
Q

Drugs for osteoarthritis pain

A
  • Tylenol
  • NSAIDs, celebrex
  • cortisone injections
  • hyalunorate injections (Synvisc)
  • muscle relaxants
  • weak opioids (Tramadol)
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10
Q

Synvisc

A

hyalunorate injections - replenishes sinovial supply

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11
Q

Normal Albumin

A

3.5-6 g/dL

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12
Q

Normal calcium

A

8.5-10.5 mg/dL

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13
Q

Hgb Male

A

13.5-17.5 g/dL

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14
Q

Hgb Female

A

12-16 g/dL

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