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Inflammation/Arthritis Rx
N/A
36
Medical
Professional
02/21/2010

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Cards

Term
Lipoxygenase metabolites (4)
Definition
1. Leukotrienes
2. Lipoxins
3. HPETEs
4. HETEs
Term
Cyclooxygenase metabolites (3)
Definition
1. Prostaglandins
2. Prostacyclin
3. Thromboxane
Term
Eicosanoids
Definition
Fatty acid metabolites of arachidonic acids

Paracrine or autocrine hormones synthesized on demand in response to hormones, drugs, or stressors.
Term
Alprostadil (PGE1)
Definition
Used clinically to maintain maternal/fetal blood flow

Maintains PDA

Impotence?
Term
Misoprostol
Definition
PGE1 analog marketed to promote ulcer healing
Term
Zafirlukast
Definition
Leukotriene inhibitor
Term
Montekulast
Definition
Leukotriene inhibitor
Term
Leukotrienes
Definition
Synthesized by HPETE in mast cells and PMNs

1. Meditate inflammation
2. Cx chemotaxis
3. Activate phagocytosis
Term
NSAIDs
Definition
Inh prostaglandin formation by blocking cyclooxygenases
Term
Acetylsalicylic acid (aspirin)
Definition
1. Analgesia w/o tolerance
2. Antipyresis
3. Anti-inflammatory actions
4. Reduces incidence of acute MI
5. Topical application for warts
Term
Acetylsalicylic acid toxicity
Definition
1. Epigastric distress (N/V)
2. Gastric ulceration, hemorrhage
3. Prolonged bleeding
4. Hypersensitivity rxns
5. Reye's syndrome
6. Hepatotoxicity
7. Acute renal insufficiency
8. Uric acid sec dec w small doses, inc w large doses
Term
Acetylsalicylic acid effects on respiration
Definition
Therapeutic doses timulates resp cxing resp alkalosis => Inc renal excretion of bicarb

Toxic doses depress resp resulting in acidosis => dec renal excretion of organic acids and inc lactic acid production
Term
Acetylsalicylic acid contraindications (6)
Definition
1. Ulcer pts
2. Allergic pts
3. Clotting DO
4. Pregnancy
5. Gout
6. Children
Term
Acetaminophen non-effects
Definition
1. NOT anti-inflammatory
2. NO effect on bleeding time
3. NO alterations in acid-base balance
4. Minimal effects on GI
5. NO uricosuric effects
Term
Acetaminophen effects
Definition
1. Analgesia
2 . Antipyresis
Term
Acetaminophen side effects (4)
Definition
1. Fatal hepatic necrosis w acute overdose
*Rx w N-Acetylcysteine
2. Skin rash
3. Mucosal lesions
4. Rarely leukopenia
Term
Celecoxib
Definition
COX2-selective inhibitor

Primarily used to rx RA or OA due to ability to inh inducible form of COX2 w/o side affects of traditional NSAIDS, due to minimal effects on normal fx of prostaglandins
Term
Celecoxib contraindications
Definition
Pts w sulfa sensitivity

Also inc CV risk
Term
Azathioprine
Definition
Antineoplastic rx used to rx only SEVERE RA due to numerous side effects including:

Hepatotox, agranulocytosis, leukopenia, anemia, thrombocytopenia, N/V, chills, fever
Term
Infliximab
Definition
TNFa Ab used to rx RA
Term
Methotrexate
Definition
Hepatotox, agranulocytosis, leukopenia, anemia, thrombocytopenia, N/V, chills, fever
Term
Etanercept
Definition
Binds TNFa preventing interaction w receptors

Used to rx RA
Term
Adalimumab
Definition
TNFa Ab used to rx RA
Term
Side effects of Etanercept, Adalimumab, and Infliximab
Definition
1. Pain, swelling, itching
2. Infusion rxn (rash, fever, chills)
3. INFXN
4. Contraindicated in sepsis
Term
Abatacept
Definition
Bind to CD4 inactivating T-Cells
Term
Acetylcysteine
Definition
Used to rx acetaminophen OD
Term
Dinoprostone
Definition
Prostanoid used to facilitate labor by promoting ripening and dilation of the cervix
Term
Indomethacin
Definition
NSAID w marked anti-infl action, but high toxicity
Term
Naproxen (Aleve)
Definition
NSAID w twice daily dosing
Term
Ibuprofen
Definition
NSAID w less GI affect
Term
Colchicine
Definition
Used for relieving acute Gout and effective prophylactically

Not uricosuric
Term
Colchicine mechanism
Definition
Inh migration of granulocytes to inflamed area
Term
Colchicine side effects (4)
Definition
1. N/V
2. Diarrhea
3. Abd pain
4. Inc incidence of blood dyscrasias w prolonged use
Term
Probenecid
Definition
Inc excretion of uric acid by dec resorption to Rx Gout

Must drink lots of H2O
Term
Sulfinpyrazone
Definition
Inc excretion of uric acid by dec resorption to Rx Gout

Must drink lots of H2O
Term
Allopurinol
Definition
Reduce formation of uric acid by inh XANTHINE OXIDASE

Rx Gout
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