Term
| what kind of action does a skeletal muscle relaxant have? |
|
Definition
|
|
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
|
|
Term
| what kind of reaction can a muscle relaxant have on the CNS |
|
Definition
|
|
Term
|
Definition
- Baclofen (Lioresal)
- Carisoprodol (Soma)
- Cyclobenzaprine (Flexeril)
- Diazepam (Valium)
- 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
- Aledronate (Fosamax)
- Ibandronate (Boniva)
- Risedronate (Actonel)
- 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
- infection
- bleeding
- 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
- sore mouth
- sores in mouth
- diarrhea
- fever
- sore throat
- bruising
- rash
- itching
- nausea
- vomiting
|
|
|
Term
| how long must contraceptives be used when taking methotrexate a DMARD |
|
Definition
|
|
Term
| glucocorticoids (corticosteroids) influence or regulate which functions? name 2 |
|
Definition
anti-inflammatory
immune response |
|
|
Term
| adverse reactions to DMARDS - immunosuppresive drugs |
|
Definition
- nausea
- stomatitis
- alopecia
Sulfa based can cause panoytopenia |
|
|
Term
| Gold Salts and penicillamine highly toxic - report the following symptom |
|
Definition
|
|
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 |
|
|
