osteoarthritis in practice (Louise) Flashcards
1
Q
Which type of arthritis is more common?
A
osteoarthritis
2
Q
How is ostoarthritis diagnosed with no investigations?
A
if >45 years
activity related joint pain and no morning joint related stiffness
3
Q
analgesia for osteoarthritis
A
paracetamol 1st line
topical NSAIDs 2nd line
oral NSAIDs/opioids 3rd line
4
Q
adjuncts with NSAIDs
A
capsaicin
intra-articular steroids
5
Q
risks with taking NSAIDs
A
CV risks
GI risks
renal risks
6
Q
What NSAIDs are usually used 1st line?
A
low dose ibuprofen or naproxen
7
Q
How would meds change around surgery for osteoarthritis?
A
meds in peri-op period
VTE prophylaxis
post-op analgesia
supportive therapies (anti-emetics, laxatives)
8
Q
treatment aims for OA
A
- reduce pain/stiffness
- maintain/improve functional capacity
- prevent progression of joint damage
- improve QoL