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Drug Of Choice > Ortho Med Sheet > Flashcards

Ortho Med Sheet Flashcards

1
Q

Ibuprofen

Pain vs. Inflammation

A

200-400mg q4-6hr (pain)
OR
400-800mg q6hr (inflammation)

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2
Q

Ibuprofen AE

A

AE: GI, renal, anti-platelet/increased bleeding risk, hepatotoxicity

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3
Q

Morphine

A

Morphine (severe pain only)10mg PO q3-4hr

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4
Q

Pt. Education about Morphine

A

Always start bowel regimen! (Docusate 100mg bid)

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5
Q

Tylenol

A

Acetaminophen: 325-650mg q4-6 hr (max 4000mg/day)

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6
Q

Acetaminophen (AE)

Can use for OA

A

hepatotoxicity

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7
Q

COX-2 Inhibitor

Can use for OA

A
  • Celebrex 100mg bid (low GI risk, high CV risk)
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8
Q

Celebrex

AE/CI

A

AE: renal toxicity, HTN, AVOID post-MI
CI: sulfa allergy

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9
Q

Naproxen

Can use for OA

A

250mg bid (low CV risk)

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10
Q

What to consider when starting naproxen?

A

Since GI AE…

Consider PPI if GI risk present–> Omeprazole 20mg

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11
Q

Tramadol (mod-severe pain)

Can use for OA

A

Tramadol -

50-100 mg q4-6 hr

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12
Q

Tramadol (AE)

A

AE: seizures, dependence, addiction

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13
Q

Non Pharm to educate about for OA

A

aerobic exercise, aquatic exercise, weight loss

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14
Q

General approach to Rheum Arthritis

A

Bridge DMARD with NSAID

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15
Q

Which NSAIDs (2) to choose from to bridge with DMARD

A

o Ibuprofen 600-800mg q6-8hr
OR
Celecoxib 100-200mg bid

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16
Q

DMARD (2 options for dosing)

for moderate to severe disease

A

Methotrexate 7.5mg once weekly
OR
2.5mg q12 hour x3doses/week

17
Q

Methotrexate

AE/CI

A

AE: elevated LFTs, thrombocytopenia, leukopenia

Stomatitis, N/D, alopecia–> add 5mg/wk folic acid to avoid these AE

CI: liver, kidney, lung disease, alcohol abuse

18
Q

why to avoid NSAIDs with a fracture

A

they inhibit prostaglandins which help with healing

19
Q

Pain med for fractures

A

Oxycodone/APAP (Percocet) 5/325mg PO 1-2 q4-6 hr PRN

20
Q

Percocet (AE)

A

AE: drowsy, N/V/C, pruritus, decreased RR

Drug Of Choice (7 decks)

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