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Musckoskeletal
Question | Answer |
---|---|
methotrexate | DMARD I Major Nonbiologic Rheumatoid Arthritis *Liver Damage* ANA titer to test for autoimune* |
etanercept | DMARD II Rheumatoid Arthritis *susceptible to infections* Severe skin reactions* reactivation of latent TB* |
raloxifene | SERMS Prevention and TX of post menopausal osteoperosis *risk for pulm emboli* DVT* |
alendronate | bisphosphonates osteoporosis *30 min after breakfast/ patient sit/standing* |
calcitonin | osteoporosis, pagets disease *hypocalcemia*nasal dryness* |
calcium supplement | hypocalcemia *kidney stones*hypercalcemia* Increase fiber* |
neostigmine/pyridostigmine | cholinesterase inhibitors Myasthenia Gravis Improves muscle strength *monitor for high/low serum levels* High: diarrhea salivation Low: muscle weakness, resp paralysis |
aspirin, ibuprofen | non opoid analgesics-NSAIDS (cox-1 and cox-2 inhibitors) inflammation suppression Fever reduction, inhibition of platelet aggregation *gastric upset* Ulcers* Kidney dysfunction* Salicylism* |
celecoxib | NSAID cox-2 analgesic , inflammation suppression, fever reduction, dysmenorrhea, arthritis Gastric upset: Diarrhea, heartburn, nausea, ulceration, renal dysfunction |
tramadol | centrally acting nonopioids moderatley severe pain, orthopedic issues *sedation, dizziness* Constipation* Urinary Retention* *cannot take with most antidepressants* |
morphine | opioid agonists mod-severe pain, preop sedation , reduces anxiety *resp depression, sedation* Dizziness*constipation*Nausea*urinary retention* |
butorphanol pentazocine | opioid agonist-antagonists mod-severe pain, anesthesia adjunct *Resp depression*increases cardiac workload*sedation*nausea* |
naloxene | opioid antagonist restores respiratory depression, constipation, euphoria, overdose Increased resp rate, b/p, HR, abstinence syndrome* |
prendisone | glucocorticoids Suppress inflammation and immune response Inflammatory&autoimmune disorders *Hyperglycemia*Hypokalemia* fat redistribution*Yeast*fluid electrolyte imbalances*infection* Consume Vit D & Calcium |
allopurinol | uricosurics GOUT *GI disturbances*vertigo*Bone marrow depression*metallic taste in mouth*Cataracts* HYDRATE!!! drink 3L H2O a day |