Rheumatoid artheritis Flashcards
What antibodies are markers of severe diseae? What are they at risk of?
Anti-CCP (cyclic citrullinated peptide)
What can methatrexate cause in the lungs and what do we need to do before we start this?
Pneumonitis, so need to do a CXR
What do we give instead of mehtatexate in pregnant women?
Sulfasalazine
altetrnatively hydroxychloroquine
What do we give along with stsrting DMARD and why?
Corticosteroids
Takes 2-3 months for the DMARDS to start working, so just given in the inbetween time
Rheumatology follow ups: 4/5 weeks -> reassesment. 2 months -> MDT: nurse, pharmacy, OT, psychologist, podiatrist, orthotics
What are the complications of RA?
Rheumatoid nodules, vasculitis, interstitial lung disease
chronic synovitis
deformatives and secondary osteoartheritis
pain and poor function
Monst common biologic used and how
Adalimumab and etanercept -> s/c pen fortnighly or weekly
Which upper limb joints aren’t included on a DAS-28 score?
Distal interpharyngeal joints