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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
Q

2 NSAIDs available both prescription & OTC

A

Ibuprofen & Naproxen

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25
Q

Is Tylenol an NSAID

A

No

26
Q

Is ibuprofen a non salicylate

A

Yes

27
Q

Is Naproxen a non salicyclate

A

Yes

28
Q

Is Celecoxib a non salicyclate

A

No. A cox inhibitor ( not NSAID )

29
Q

Methotrexate is used as a DMARD to treat what other disease process

A

Cancer

30
Q

What are cox inhibitors used for

A

Suppress inflammation, osteoarthritis, acute joint pain, rheumatoid arthritis

31
Q

With what allergies do we avoid the use of cox inhibitors

A

Sulfa and penicillin drugs

32
Q

How many drugs do we have that are in the cox inhibitor category
Do we use cox in generic name

A

One. Yes we use cox in generic name (Celecoxib)

33
Q

Is ibuprofen an NDAID

A

Yes

34
Q

Gold salts are classified as

A

Immunosuppressant DMARDs

35
Q

Penicillamine is classified as

A

Immunosuppressant DMARD

36
Q

Methodextrate is classified as

A

Immunosuppressant DMARD

37
Q

Cyclosporine is classified ad

A

Immunosuppressant DMARD

38
Q

What is the chemical designation for gold

A

AU

39
Q

Is Golds chemical designation found in the name of gold preparations

A

Yes

40
Q

Gold preparations can cause what side effects

A

Pruritis, stomititis, rash, blood dyscrasias

41
Q

Gold preparations are used to treat

A

Rheumatoid arthritis, joint stiffness, pain & halts pregression of regeneration

42
Q

What should you teach patients regarding gout

A

Avoid foods high in purines such as red meat, cheese & alcohol

43
Q

Carisoprodol ( soma ) is classified as

A

Centrally acting muscle relaxant

44
Q

Diazepam ( Valium ) is classified as

A

Centrally acting muscle relaxant

45
Q

Methocarbomal (robaxin) is classified as

A

Centrally acting muscle relaxant

46
Q

Cyclobenzaprine ( flexeral ) is classified as

A

Centrally acting muscle relaxant

47
Q

Probenecid ( Benemid ) is classified as

A

Anti gout

48
Q

Good sources of calcium for menopausal women

A

Tums & milk

49
Q

What is required to maximize calcium absorption

A

Vitamin D & sunshine

50
Q

Should calcium carbonate be taken before, during, or after meals

A

During or after not before

51
Q

What agents increase muscle tone

A

Anticholinesterase

-ase = enzyme

52
Q

Is drug treatment for arthritis short term or long term

A

Long term

53
Q

Does drug treatment for arthritis change day to toy

A

No. Requires patient cooperation

54
Q

Why and when are steroids given for rheumatoid disease

A

While in process of giving DMARDs to reduce pain and inflammation

55
Q

Are steroids for rheumatoid disease given long term or short term

A

Short term

56
Q

What do skeletal muscle relaxants cause

A

Central nervous system depression

57
Q

Who makes the choice between skeletal muscle relaxants

A

Dr.

58
Q

Can skeletal muscle relaxants cause dependency

A

Yes. Physical dependency.

59
Q

Are the drugs of choice for muscle spasms central acting or direct acting

A

Both

60
Q

Diazepam has what two effects when used for musculoskeletal disorders

A

Spasticity & other muscular conditions

61
Q

Is any one skeletal muscular relaxant mex better than another

A

Nope

62
Q

What is the most common symptom of musculoskeletal disorders

A

Pain

Pharmacology (12 decks)

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