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Stack #206366

QuestionAnswer
Methotrexate DMARD: enzyme inhibition: anti cancer agent (hepatic, gi, blood (thrombocytopenia), not used with renal dysfunction) folic acid may decr adv effects
DMARD For active infl disease. Goal to stop infl and jnt destruction
Thrombocytopenia Due to immune dysfunction
Secondary Thrombocytosis •Anemia due to iron deficiency •Cancer •Inflammation or infection •Surgery
Anti cytokines (TNF) Enbrel; Anti cytokines bind with tnf and deactivate it; TNF directly involved with RA inflatmmation
DMARD drug names Leflunomide (Arava) Infliximab (remicade) Anakinra(kineret)
Cyclosporine (Neoral) DMARD; htn, nephrotoxicity; drug interxns (CA blockers, antibiotics, corticosteroids, antifungals) RA rx
Gold therapy efx (blood disorders, renal dysfxn, dermatitis) tolerated better orally
Osteoporosis Vit D facilitates Ca uptake;
Vit D analogue Calcitrol, cod liver oil
Bisphonate inhibit resorption w/o affecting formation
Alendronate (fosamax)risedronate (actonel) BisphonateGI problems, myalgias, esophageal lesionsMust be taken hour before breakfast; remain standing or sitting hour after breakfast
Etidronate (Didronel) Bisphonatefor Paget's disease and SCI heterotopic ossification
Calcitonin reduces osteoclasitic activity; paget's disease; pain, myalgias, headaches
Teriparatide (Forteo) has PTH and Raloxifene (Evista) a antiestrogen agent; osteoporosis in postmen women; hot flashes, leg cramps
Nitrates Vasodilation; decr BP; decr work of heart; relief of coronary vasospasm; dizziness, headache, reflex tachycardia; Call EMS if no relief after 3 tablets
Angina Nitrates, B Blockers, CA blockers, Anti Anxiety rx w/o cardiac effects (Zoloft, Paxil, and Ativan)
Diuretics treat htn; hyperglycemia, hypokalemia
Thiazides Hydrochlorothiazide; inhibit tubular reabsorption of NA and CL; not used with renal dysfunction
Loop Diuretics furosemide (Lasix), Bumex, Edecrin; works on loop of henle; more effective than thiazides; safe use with elderly
Potassium Sparing Diuretics Prevent hypokalemia; Aldactone, Dyrenium, Midamor; weak diuretics; may lead to hyperkalemia
Beta blockers decr CO by slowing HR; avoid use with COPD, some types of angina, and DM;
Beta blockers propanolol (inderal), nadolol, penobutolol (levatol)
B-Blocker side effects depression, disorientation, cold extremities
C-Channel Blocker Names Procardia, Cardizem, verapamil, norvasc
C-Channel Blocker function decr Ca influx; decr heart contractilty, HR, and resistance to blood flow (causes vasodilation), dilated coronary arteries
C-Channel Blocker Bradycardia, perip vasodilation caus flushin, headache, andkle swelling and reflex tachycardia
Reflex Tachycardia Ca Channel Blockers, Nitrates
A-1 Blocker prazosin (Minpress)block a-1 receptor sin sm muscle --> arterial and v. vasodilation;Syncope, headache, palpitations
A-2 Blockers clonidine (catapres) methyldopa (aldomet) ; a-2 brain receptors (decr HR, BP); dry mouth, sedation, depression
A-2 adv rxns clonidine (rebound htn on sudden w/drawal); Aldomet (mental acuity & hemolytic anemia)
warfarin antagonist of Vit K; 3-6 days for effect; (hemorrhage,microemobli, not used with pregnancy)
Warfarin drug interactions CHF, hepatic dysfxn, and malnutrition may decr VIT K-clotting factors and incr drug effect
Heparin naturally occuring in body; Fragmin, Lovenox, and Innohep; less frequent dosing and not need to monitor prothrombin times
Aspirin Antiplatelet; irreversibly inhibits platelets agrregating at injury; tx for CAD, angina, and MI
Clopidogrel (plavix) antiplatelet: same as aspirin; used with PVD
Ticlopidine (Ticlid) antiplatelet: same as aspirin: TIAs and stroke (GI symptoms, dizzines) (
Diazepam Valium; m relaxant; acts
Aspirin Antiplatelet; anti-inflammatory, anti-pyretic, analgesic; (GI upset, nausea, gastritis)
NSAIDS-general COX1&2 inhibitors ; Ibuprofen(advil, motrin) efx(edema, less GI irritation than aspirin)
COX-2 NSAIDS Celecoxib (VIoxx, Celebrex, Bextra); were indicated for RA and DJD; inhibit COX-2 inflammation prostaglandins; antipyretic, anti inflammatory, and analgesic
Glucocorticosteroids endogenouse (cortisol, hydrocortizone) synthetic (prednisone, dexamethasone)
Glucocorticosteroids Inhibit capillary dilatin, edema, & migration of leukocytes and macrophages to affected area
Glucocorticosteroids ADV RXN sudden w/drawal: fever, malaise, althralgia; depression, anxiety, euphoria, mood swings, nervous, cataracts, Cushingoid symptoms, edema, hyperglycemia, osteoporosis, myopathy, GI disturbances
Diazepam Valium: m. relaxant; acts centrally; tx spasm
Tizanidne Zanalfex: m. relaxant; acts at spinal cord; tx spascticity; efx(hypotension)
Chlorzoxaone (Parafon Forte) cyclobenzaprine (flexeril carisprodol (soma) methocarbamol (robaxin) orphenadrine (norflex) act at brain stem/ spinal cord; temp relief of local, acute spasm; flexeril efx(tachycardia, blurry vision, dry mouth)
baclofen lioresal: m. relaxant; act at brain and SC inhibitin NT substance P; reduce inflamm and pain ; tx spasticity and painful spasms; efx (drowsiness, incr seizures with epilepsy pt)
Dantolene Dantrium: m. relaxant; act olcally on m fiber, blocks Ca; tx chronic spasticity; efx (dizziness, dryness, diarrhea)
opiod narcotics morphine, codeine, hydrocodone (vicodin) methadone, oxycodone (percodet, percodan, oxycontin) meperidine (demerol)hydromorphone (dilaudid)
opiod narcotic effects analgesia, antitussive, dyspnea (MI, acute pulm edema, LVF), antidiarrheal; efx (drowsinesss, nausea, vomiting)
Fentanyl duragesid, actiq: opiod narcotic for stable, chronic pain
Non-opiod narcotic acetaminophen (tylenol); mild pain relief; antipyretic; efx (sever liver damage and fatal effects in overdosed quantities
ACE inhibitors Pril's; Quinipril (accupril) captopril (capoten) fosinopril (monopril) benazepril (lotensin):arteriolar vasodilation, decr perip resistance, incr blood flow
ACE inhibitor efx (non productive dry cough, decr taste perception) (excessive hypotension, hyperkalemia, angioedema)
Digoxin Lanoxin; tx systolic dysfunction and arrhythmias, used with CHF; incr force of contraction w/o incr oxygen demand; adv efx (GI problems and confusion)
Vasodilator Hydralazine (apresoline) and minoxidil; efx (GI, headache, flushing, nasal congestion) adv efx (Lupus like, arthralgia, skin rash, reflex tachycardia--> angina attack)
Created by: andreythedon
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