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Pharmacology > Musculoskeletal System > Flashcards

Musculoskeletal System Flashcards

0
Q

DMARD

A

Medication that modifies rheumatic diseases

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1
Q

Enteric-coated medications

A

Meds formulated to pass through the stomach into small intestine

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2
Q

NSAID

A

Non-steroidal anti-inflammatory drugs

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3
Q

Immunosuppressant

A

Agent that interferes with normal reactions of immune system and prevents antibodies

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4
Q

Salicylate / ASA - Acetylicylic acid

A

Anti-inflammatory agent containing salicylic acid

aspirin

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5
Q

Common classes of meds used for treating rheumatic arthritis

A

NSAIDs, DMARDs, glucocorticosteroids

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6
Q

Are NSAIDs, DMARDs, & glucocorticosteroids safe for use by pregnant women

A

No

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7
Q

Common side effects of medications for musculoskeletal disorders

A

Nausea, vomiting, pain in abdomen, headache, constipation, diarrhea

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8
Q

In what order are arthritis meds initially prescribed

A

NSAID, DMARDS, Gold salt

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9
Q

Name some meds used against osteoporosis

A

Calmsatonin salmon, sodium fluoride & byphosphates

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10
Q

Patient teaching with osteoporosis about their use of alendronate (Fosamax)

A

Should be taken with an empty stomach, full glass of water, may cause esophagitis & patient must have adequate vitamin D for absorption

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11
Q

Is Fosamax used for treatment and prevention of osteoporosis

A

Yes

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12
Q

What is the goal of arthritis therapy

A
  1. Relieve pain, inflammation, & stiffness
  2. Maintain function & range of motion
  3. Prevent joint deformity
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13
Q

Are NSAIDs rapid relief

A

Yes

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14
Q

Do NSAIDs cause gastric ulcers & bleeding tendancies

A

Yes

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15
Q

Are NSAIDs cheap, anti inflammatory & analgesic

A

Yes

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16
Q

Why do we treat arthritis with immunosuppressants

A

To reduce bodies autoimmune response to its own tissues

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17
Q

What two arthritis meds do not interplay in slowing the progression

A

NSAIDs & steroids

relieve pain & inflammation

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18
Q

Which arthritis med slows the progression of the disease

A

DMARDs slow progression

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19
Q

Side effects of NSAIDs that need to be reported to MD ASAP

A

Tinnitus, gastric bleeding & asthma

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20
Q

Is it recommended to take a nonsalicylate NSAID and ASA concurrently

A

No. Way to much med

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21
Q

If you are allergic to and cannot tolerate ASA’s can you always safely use NSAIDs

A

No

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22
Q

Should NSAIDs be taken with food, milk, alcohol.

A

Take with food or milk. Do not take with alcohol

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23
Q

Can you buy salicylate NSAIDs OTC

A

Yes

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24
2 NSAIDs available both prescription & OTC
Ibuprofen & Naproxen
25
Is Tylenol an NSAID
No
26
Is ibuprofen a non salicylate
Yes
27
Is Naproxen a non salicyclate
Yes
28
Is Celecoxib a non salicyclate
No. A cox inhibitor ( not NSAID )
29
Methotrexate is used as a DMARD to treat what other disease process
Cancer
30
What are cox inhibitors used for
Suppress inflammation, osteoarthritis, acute joint pain, rheumatoid arthritis
31
With what allergies do we avoid the use of cox inhibitors
Sulfa and penicillin drugs
32
How many drugs do we have that are in the cox inhibitor category Do we use cox in generic name
One. Yes we use cox in generic name (Celecoxib)
33
Is ibuprofen an NDAID
Yes
34
Gold salts are classified as
Immunosuppressant DMARDs
35
Penicillamine is classified as
Immunosuppressant DMARD
36
Methodextrate is classified as
Immunosuppressant DMARD
37
Cyclosporine is classified ad
Immunosuppressant DMARD
38
What is the chemical designation for gold
AU
39
Is Golds chemical designation found in the name of gold preparations
Yes
40
Gold preparations can cause what side effects
Pruritis, stomititis, rash, blood dyscrasias
41
Gold preparations are used to treat
Rheumatoid arthritis, joint stiffness, pain & halts pregression of regeneration
42
What should you teach patients regarding gout
Avoid foods high in purines such as red meat, cheese & alcohol
43
Carisoprodol ( soma ) is classified as
Centrally acting muscle relaxant
44
Diazepam ( Valium ) is classified as
Centrally acting muscle relaxant
45
Methocarbomal (robaxin) is classified as
Centrally acting muscle relaxant
46
Cyclobenzaprine ( flexeral ) is classified as
Centrally acting muscle relaxant
47
Probenecid ( Benemid ) is classified as
Anti gout
48
Good sources of calcium for menopausal women
Tums & milk
49
What is required to maximize calcium absorption
Vitamin D & sunshine
50
Should calcium carbonate be taken before, during, or after meals
During or after not before
51
What agents increase muscle tone
Anticholinesterase -ase = enzyme
52
Is drug treatment for arthritis short term or long term
Long term
53
Does drug treatment for arthritis change day to toy
No. Requires patient cooperation
54
Why and when are steroids given for rheumatoid disease
While in process of giving DMARDs to reduce pain and inflammation
55
Are steroids for rheumatoid disease given long term or short term
Short term
56
What do skeletal muscle relaxants cause
Central nervous system depression
57
Who makes the choice between skeletal muscle relaxants
Dr.
58
Can skeletal muscle relaxants cause dependency
Yes. Physical dependency.
59
Are the drugs of choice for muscle spasms central acting or direct acting
Both
60
Diazepam has what two effects when used for musculoskeletal disorders
Spasticity & other muscular conditions
61
Is any one skeletal muscular relaxant mex better than another
Nope
62
What is the most common symptom of musculoskeletal disorders
Pain

Pharmacology (12 decks)

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