Shared Flashcard Set

Details

Musculoskeletal System
Exam 3 Musculoskeletal System DRUGS
31
Nursing
Not Applicable
12/19/2012

Additional Nursing Flashcards

 


 

Cards

Term
what kind of action does a skeletal muscle relaxant have?
Definition
sedative action
Term
which drug appears to effect muscle tone reducing muscle spasms?
Definition

Cyclobenzaprine

(Flexeril)

Term
when are skeletal muscle relaxants used
Definition

various acute painful conditions: muscle strains and back pain

Term
what is the most common reaction to muscle relaxants
Definition
drowsiness
Term
what kind of reaction can a muscle relaxant have on the CNS
Definition
increased CNS depression
Term
Name 5 muscle relaxants
Definition
  1. Baclofen (Lioresal)
  2. Carisoprodol (Soma)
  3. Cyclobenzaprine (Flexeril)
  4. Diazepam (Valium)
  5. Methocarbamol (Robaxin) 
Term

nursing considerations with muscle relaxants

 

Definition
  • may cause drowsiness
  • do not allow ct to drive or perform hazardous tasks
  • avoid alcohol and other CNS depressants
Term
what are bone resorption inhibitors: Biphosphonates used for
Definition

reverse the progression of osteoporosis

prevents bone loss and fractures

Term
adverse reactions of biphosphonates
Definition
  • dyspepsia
  • acid regurgitation
  • dysphagia
  • abdominal pain 
Term
name 4 biphosphonate drugs
Definition
  1. Aledronate (Fosamax)
  2. Ibandronate (Boniva)
  3. Risedronate (Actonel)
  4. Reclast

 

Term
when is Alendronate (Fosamax) a biphosphonate contraindicated?
Definition
in clients with delayed esophageal emptying or renal impairment
Term
what clients should we use caution with when taking Alendronate (Fosamax) a biphosphonate
Definition
use cautiously in cts with GI or renal impairment
Term
what other drugs decrease the effectiveness of biphoshonates: Alendronate (Fosamax)
Definition
Calcium supplements or antacids with magnesium and aluminum
Term

nursing considerations with biphosphonates:

Alendronate (Fosamax)

Ibandronate (Boniva)

Risedronate (Actonel)

Reclast

 

Definition
  • take drug upon rising on empty stomach with 6-8 oz of H20
  • remain upright 30mins after taking
  • wait 30 minutes before eating or drinking 
Term

what is an important suppliment to take when using biphosphonates:

Alendronate (Fosamax)

Ibandronate (Boniva)

Risedronate (Actonel)

Reclast

Definition

vitamin D

calcium

 

if intake is inadequate

Term

DMARDS

Humira - sub q

Enbrel -sub q

plaquenil - oral

Methotrexate (Rheumatrex) - oral

Sulfasalazine (Azulfidine) - oral

Definition
produce immune suppression
Term
what is important for women when taking DMARDS
Definition
women should not become pregnant and sexual partners should use barrier contraception to prevent transmition of drug by semen
Term
why should cts taking DMARDS be tested for TB
Definition
they should be tested for pre-existing TB due to immunosuppression
Term

because DMARDS are designed to produce immunosuppresion, cts need to be monitored for:

name 3

Definition
  1. infection
  2. bleeding
  3. anemia 
Term
what is a nursing consideration for hydroxychlorquine (Plaquenil) a DMARD
Definition

visual problems - blurred vision

have eyes checked at dr. office

Term

when should DMARDS be given

why

Definition

immediately after meals

to reduce gastric distress

Term
sulfasaliazine a DMARD can cause what disorder
Definition
crystalluria - and kidney damage
Term
what precautions should you take when considering crystalluria
Definition
  • ↑ fluids
  • monitor creatinine
  • watch for kidney damage
Term
when taking DMARDS notify the health care provider of: name 10
Definition
  1. sore mouth
  2. sores in mouth
  3. diarrhea
  4. fever
  5. sore throat
  6. bruising
  7. rash
  8. itching
  9. nausea
  10. vomiting 
Term
how long must contraceptives be used when taking methotrexate a DMARD
Definition
8 weeks after therapy
Term
glucocorticoids (corticosteroids) influence or regulate which functions? name 2
Definition

anti-inflammatory

immune response

Term
adverse reactions to DMARDS - immunosuppresive drugs
Definition
  1. nausea
  2. stomatitis
  3. alopecia

Sulfa based can cause panoytopenia 

Term
Gold Salts and penicillamine highly toxic - report the following symptom
Definition
metallic taste in mouth
Term
adverse reactions to glucocorticoids (corticosteroids)
Definition
  • mental or emotional changes
  • moon face
  • weight gain
  • bruising
  • hyperglycemia
  • GI bleeding 
Term
corticosteroids can cause bone marrow suppression which results in:
Definition

↓ RBCs, WBCs, & platelets

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