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Pharm. Analges & Imm
| Question | Answer |
|---|---|
| DMARD’s Disease Modifying Anti-rheumatic Drugs | -methotrexate -hydroxychloroque USES: treat RA SE: Bone marrow suppression, risk of infection. CONTR/NI: Hepatic/Renal impairment, active infection, live vaccination, take with food, long acting takes 3-6 weeks to see improvement |
| Calcium Supplements | -calcium citrate, calcium carbonate USES: osteoporosis, hypocalcemia CONTR/NI: Hypercalcemia, don’t give in Calcium levels are 10.2 or greater, monitor calcium levels, dont give with food that decrease absorption |
| bisphosphonates | -alendronate USES: osteoporosis SE: bone pain, GI disruption, Esophageal Ulcers N/I: Take in AM on empty stomach w/ 8oz water, sit up 30 min after, Wait 30-60 to eat or drink after, report difficulty swallowing, new/worse heartburn, take by itself |
| calcitonin | -calcitonin salmon USES: osteoporosis SE: Rhitinus, Nasal irration, injection site reaction CONTR/NI: pregnancy, leave bottle upright, switch nostrils daily, given nasal or IM |
| Non-opioid Analgesics | -ASA(aspirin), -Ibuprofen, -naproxen USES: anti inflammatory, analgesia, antipyretic, anti plattele. SE: GI discomfort/bleeding, Reye syndrome, ulcers, ASA toxicity, Ototoxicity CONTR: Bleeding disorders, cardiac disease, use of anticoagulants/ETOH |
| Non-opioid Analgesics Nursing interventions | Stop 1 week before surgery or child birth take with food Call PCP for s/s of GI discomfort/bleeding Avoid ETOH Don’t use with other NSAID’s |
| Non opioid Analgesic | -acetaminophen USES: antipyretic, analgesis SE: acute toxicity resulting in liver damage CONTR/NI: ETOH Abuse, Warfarin, liver damage, Dont take more than 4g daily. ANTIDOTE: acetylcystine |
| Opioid Agonists (Schedule II Narc.) | -morphine, -fentanyl,- hydromorphone, -codeine USES: analgesia, sedation, cough suppresion SE: Resp. Depression, constipation, ortho.hypotension, nausea, sedation CONTR: Infants, Resp. Issues, pregn, extreme obese, CNS depressants, antihypertensives |
| Opioid Agonists (schedule II narc.) Nursing Intervention: | Frequently monitor VS especially Respirations Do not stop abruptly for dependents Fall prevention Increase fiber & fluids |
Created by:
SamMcG11
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