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Pharmacology - NCLEX > Musculoskeletal Medications (42) > Flashcards

Musculoskeletal Medications (42) Flashcards

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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
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2
Q

METHOCARBAMOL: Side Effects

A
  • Drowsiness
  • Light-headedness
  • Hypotension
  • Dizziness
  • Nausea
  • Metallic taste
  • Urticaria
  • Blurred vision
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3
Q

METHOCARBAMOL: Purpose

A

Relief of pain associated with musculoskeletal disorders, adjunct in management of neuromuscular manifestations of tetanus

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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
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5
Q

METAXALONE: Side Effects

A
  • Drowsiness
  • Nervousness
  • GI upset
  • Dizziness
  • Headache
  • Irritability
  • Hepatitis
  • Rash
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6
Q

METAXALONE: Purpose

A

Relief of pain associated with musculoskeletal injuries

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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
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8
Q

CYCLOBENZAPRINE: Side efects…pendiente

A
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9
Q

CYCLOBENZAPRINE: Purpose

A

Relief of muscle spasms and pain in musculoskeletal conditions

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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
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11
Q

CARISOPRODOL: Side Effects

A
  • Drowsiness
  • Headache
  • Insomnia
  • Dizziness
  • Nausea
  • Postural hypotension
  • Diplopia
  • Asthma attacks
  • Eosinophilia
  • Rash
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12
Q

CARISOPRODOL: Purpose

A

Relief of pain and stiffness in musculoskeletal disorders

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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
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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
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15
Q

BACLOFEN: Purpose

A

Reduction of spasticity in spinal cord injuries and multiple sclerosis

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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
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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
Q

ETANERCEPT: Nursing Considerations

A
  • 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
Q

ETANERCEPT: Side Effects

A
  • Headache
  • Dizziness
  • Abdominal pain
  • Dyspepsia
  • Heart failure
  • Hepatitis
  • Anemia, leukopenia
  • URI, cough
27
Q

ETANERCEPT: Purpose

A

Management of acute chronic rheumatoid arthritis, ankylosing spondylitis, and plaque psoriasis

28
Q

DICLOFENAC: Nursing Considerations

A
  • 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
Q

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

A
  • 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
Q

DICLOFENAC: Purpose

A

Management of rheumatoid arthritis, osteoarthritis, and dysmenorrhea

31
Q

ADALIMUMAB: Nursing Considerations

A
  • Treat latent tuberculosis before initiating therapy
  • May reactivate hepatitis B in chronic carriers
  • Rx
32
Q

ADALIMUMAB: Side Effects

A
  • Headache
  • Hypertension, CHF
  • Sinusitis
  • GI bleeding
  • Abdominal pain, nausea
  • Hepatic damage
  • Leukopenia
  • Flulike symptoms
  • Increased cancer risk
  • UTI
33
Q

ADALIMUMAB: Purpose

A

Management of rheumatoid arthritis, psoriatic arthritis, Crohn disease, plaque psoriasis, ankylosing spondylitis, and ulcerative colitis

34
Q

PROBENECID: Nursing Considerations

A
  • 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
Q

PROBENECID: Side Effects

A
  • Nausea
  • Anorexia
  • Apnea
  • Hyperglycemia
  • Skin rash
  • Hemolytic anemia
  • Drowsiness, headache
  • Hypokalemia
  • Bradycardia
  • Hepatic necrosis
  • Nephrotic syndrome
36
Q

PROBENECID: Purpose

A

Treatment of hyperuricemia in gout and gouty arthritis, adjunct to penicillin treatment

37
Q

COLCHICINE: Nursing Considerations

A
  • 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
Q

COLCHICINE: Side Effects

A
  • Signs of toxicity: abdominal cramp, weakness, nausea, vomiting
  • Agranulocytosis
  • Hematuria
  • Renal damage
  • Chills, dermatitis
  • Diarrhea
39
Q

COLCHICINE: Purpose

A

Prevention and treatment of gouty arthritis; treatment of gout and Mediterranean fever

40
Q

ALLOPURINOL: Nursing Considerations

A
  • 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
Q

ALLOPURINOL: Side effects…pendiente

A
42
Q

ALLOPURINOL: Purpose…pendiente

A

Pharmacology - NCLEX (20 decks)

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