Musculoskeletal Medications (42) Flashcards
1
Q
METHOCARBAMOL: Nursing Considerations
A
- IM: inject deep into muscle of buttock, rotate sites
- NG tube: crush tablets into fluid
- PO: take with food or milk
- Urine may turn green, black, or brown
- Avoid alcohol, CNS depressants, including OTC cold or allergy meds
- Avoid activities requiring alertness until effects of medication are known
- Monitor IV sites carefully for extravasation
- Rx; Preg Cat C
2
Q
METHOCARBAMOL: Side Effects
A
- Drowsiness
- Light-headedness
- Hypotension
- Dizziness
- Nausea
- Metallic taste
- Urticaria
- Blurred vision
3
Q
METHOCARBAMOL: Purpose
A
Relief of pain associated with musculoskeletal disorders, adjunct in management of neuromuscular manifestations of tetanus
4
Q
METAXALONE: Nursing Considerations
A
- Should be an adjunct to rest and physical therapy
- Avoid alcohol while using this drug
- Use caution when operating machinery
- Rx; Preg Cat N/A
5
Q
METAXALONE: Side Effects
A
- Drowsiness
- Nervousness
- GI upset
- Dizziness
- Headache
- Irritability
- Hepatitis
- Rash
6
Q
METAXALONE: Purpose
A
Relief of pain associated with musculoskeletal injuries
7
Q
CYCLOBENZAPRINE: Nursing Considerations
A
- Avoid alcohol, CNS depressants, OTC cold and allergy meds
- Avoid activities requiring alertness until effects of medication are known
- Do not discontinue abruptly, taper over 1–2 weeks
- Give with food to decrease GI upset
- Rx; Preg Cat B
8
Q
CYCLOBENZAPRINE: Side efects…pendiente
A
9
Q
CYCLOBENZAPRINE: Purpose
A
Relief of muscle spasms and pain in musculoskeletal conditions
10
Q
CARISOPRODOL: Nursing Considerations
A
- PO: onset 30 minutes, peak 4 hours, duration 4–6 hours
- Avoid alcohol, CNS depressants, including OTC cold or allergy meds
- Avoid activities requiring alertness until effects of medication are known
- May cause dependence; use for short term (2–3 weeks)
- Rx C-IV; Preg Cat C
11
Q
CARISOPRODOL: Side Effects
A
- Drowsiness
- Headache
- Insomnia
- Dizziness
- Nausea
- Postural hypotension
- Diplopia
- Asthma attacks
- Eosinophilia
- Rash
12
Q
CARISOPRODOL: Purpose
A
Relief of pain and stiffness in musculoskeletal disorders
13
Q
BACLOFEN: Nursing Considerations
A
- Take with food to decrease GI symptoms
- Avoid alcohol, CNS depressants
- Increased risk of seizures in patients with seizure disorder
- Withdraw gradually over 1 to 2 weeks, unless severe adverse reactions; D/C may cause hallucinations, tachycardia, or rebound spasticity
- Rx; Preg Cat C
14
Q
BACLOFEN: Side Effects
A
- Drowsiness
- Dizziness
- Weakness, fatigue
- Confusion
- Nausea, vomiting
- Headache
- Seizures
- Hypotension
- Chest pain, palpitations
- Blurred vision
- Respiratory failure
Urinary frequency
15
Q
BACLOFEN: Purpose
A
Reduction of spasticity in spinal cord injuries and multiple sclerosis
16
Q
SALSALATE: Nursing Considerations
A
- PO: can be crushed or taken whole
- PO: take with food or milk to decrease GI upset
- Full therapeutic effect may take 2 weeks
- Do not take another salicylate (ASA) while on this med
- Rx; Preg Cat C
17
Q
SALSALATE: Side Effects
A
- Nausea, vomiting
- GI bleeding
- Vertigo
- Heartburn
- Rash
- Tinnitus
- Hearing loss
18
Q
SALSALATE: Purpose
A
Relief of mild to moderate pain in osteoarthritis and rheumatoid arthritis
19
Q
PIROXICAM: Nursing Considerations
A
- PO: with food to decrease GI upset; on empty stomach to increase absorption
- Take at same time every day
- Full therapeutic effect may take up to 1 month for arthritis
- Avoid concurrent use of ASA, OTC meds, alcohol
- Rx; Preg Cat C
20
Q
PIROXICAM: Side Effects
A
- Drowsiness, dizziness
- Nausea, vomiting
- Blurred vision, tinnitus
- GI disturbance, bleeding, or ulcer
- Rash
- Exacerbation of angina
- Anemia, leukopenia
- Photosensitivity
- Hypo/hyperglycemia
- Renal failure
- Bronchospasms
21
Q
PIROXICAM: Purpose
A
Relief of mild to moderate pain in osteoarthritis and rheumatoid arthritis
22
Q
INDOMETHACIN: Nursing Considerations
A
- PO: take with food/milk, encourage upright position for 15–30 minutes
- Use caution with potentially hazardous activities
- Avoid use with alcohol, aspirin, other NSAIDs
- Rx; Preg Cat C
23
Q
INDOMETHACIN: Side Effects
A
- Peptic ulcer
- Dizziness, headache
- Blurred vision
- Tinnitus
- Hypertension
- Drowsiness
- Nausea, constipation
- Dysrhythmias
- MI/stroke
- GI bleeding
- Hepatitis
- Blood dyscrasias
- Nephrotoxicity
24
Q
INDOMETHACIN: Purpose
A
Treatment of rheumatoid arthritis, osteoarthritis, bursitis, tendinitis, acute gouty arthritis, and ankylosing spondylitis
25
**ETANERCEPT**: Nursing Considerations
* Instruct patient or caregiver to administer subQ injection
* Do not take live viruses during treatment
* Must be continued for prescribed time to be effective
* Rx
26
**ETANERCEPT:** Side Effects
* Headache
* Dizziness
* Abdominal pain
* Dyspepsia
* Heart failure
* Hepatitis
* Anemia, leukopenia
* URI, cough
27
**ETANERCEPT:** Purpose
Management of acute chronic rheumatoid arthritis, ankylosing spondylitis, and plaque psoriasis
28
**DICLOFENAC:** Nursing Considerations
* PO: take with full glass of water and food and remain upright for 30 minutes
* If dose missed, take within 2 hours
* Use with NSAIDs increases anticoagulant effects
* Rx
29
**DICLOFENAC:** Side Effects
Dizziness, drowsiness
Blood dyscrasias
Headache
Nephrotoxicity
Hepatotoxicity
GI distress, bleeding, or ulcer
Rash
Heart failure
Dysrhythmias
MI/stroke
Hearing loss, blurred vision
Photosensitivity
Hyperglycemia
* Dizziness, drowsiness
* Blood dyscrasias
* Headache
* Nephrotoxicity
* Hepatotoxicity
* GI distress, bleeding, or ulcer
* Rash
* Heart failure
* Dysrhythmias
* MI/stroke
* Hearing loss, blurred vision
* Photosensitivity
* Hyperglycemia
30
**DICLOFENAC:** Purpose
Management of rheumatoid arthritis, osteoarthritis, and dysmenorrhea
31
**ADALIMUMAB:** Nursing Considerations
* Treat latent tuberculosis before initiating therapy
* May reactivate hepatitis B in chronic carriers
* Rx
32
**ADALIMUMAB:** Side Effects
* Headache
* Hypertension, CHF
* Sinusitis
* GI bleeding
* Abdominal pain, nausea
* Hepatic damage
* Leukopenia
* Flulike symptoms
* Increased cancer risk
* UTI
33
**ADALIMUMAB:** Purpose
Management of rheumatoid arthritis, psoriatic arthritis, Crohn disease, plaque psoriasis, ankylosing spondylitis, and ulcerative colitis
34
**PROBENECID:** Nursing Considerations
* Give with milk, food, and antacids
* Encourage 8–10 glasses water/day
* Avoid alcohol, organ meats, gravy, legumes
* Avoid aspirin-containing products; may take acetaminophen
* Rx; Preg Cat B
35
**PROBENECID:** Side Effects
* Nausea
* Anorexia
* Apnea
* Hyperglycemia
* Skin rash
* Hemolytic anemia
* Drowsiness, headache
* Hypokalemia
* Bradycardia
* Hepatic necrosis
* Nephrotic syndrome
36
**PROBENECID:** Purpose
Treatment of hyperuricemia in gout and gouty arthritis, adjunct to penicillin treatment
37
**COLCHICINE:** Nursing Considerations
* Has analgesic, anti-inflammatory effects
* May be taken without regard to meals
* IV: infuse slowly; do not administer IM/subQ
* Encourage 10–12 glasses water/day
* Avoid grapefruit products, alcohol, organ meats, gravy, legumes
* Rx; Preg Cat C
38
**COLCHICINE:** Side Effects
* Signs of toxicity: abdominal cramp, weakness, nausea, vomiting
* Agranulocytosis
* Hematuria
* Renal damage
* Chills, dermatitis
* Diarrhea
39
**COLCHICINE:** Purpose
Prevention and treatment of gouty arthritis; treatment of gout and Mediterranean fever
40
**ALLOPURINOL:** Nursing Considerations
* Encourage 10–12 glasses water/day
* Check CBC, renal and liver function tests before treatment
* Take with food
* Initial therapy can increase attacks of gout
* Avoid use of alcohol, eating organ meats, gravy, legumes
* Full therapeutic effect may require several months
* Management of patients with leukemia, lymphoma who are receiving chemotherapy that may increase uric acid
* Rx; Preg Cat C
41
**ALLOPURINOL:** Side effects...pendiente
42
**ALLOPURINOL:** Purpose...pendiente
