Shared Flashcard Set

Details

Rheumatoid Arthritis
Part One
14
Other
Not Applicable
12/08/2012

Additional Other Flashcards

 


 

Cards

Term
DMARD- Need periodic eye exams (esp if >40 years old) to check for retinal damage; least toxic overall of DMARDs and least costly to monitor; can take up to a year to see clinical efficacy
Definition
Hydroxychloroquine
Term
DMARD- causes urine discoloration
Definition
Sulfasalazine
Term
DMARD- most predictable benefit, Pregnancy category X, Avoid AlOH
Definition
Methotrexate
Term
May be used intraarticular to minimize SE if only a few joints are affects; Some major SE: increased appetite/weight gain, diabetes, HTN, osteoporosis, impaired wound healing and increased infection rate
Definition
Glucocorticoids
Term
Can be used with ASA, NSAIDs and low dose corticosteroids and off-label with MTX; Black Box: Pregnancy and hepatotoxicity SE: diarrhea, alopecia, nausea, rash
Definition
Leflunomide
Term
Black Box Warning: infection risk (serious fungal, bacterial, and viral), lymphoma/malignancy (esp in children and adolescents); need to evaluate pts for TB, CHF; no live vaccines
Definition
etanercept
Term
IV infusion; extreme caution in CHF; black box: infection risk, neoplastic disease
Definition
Infliximab
Term
Dosed SC; Black Box: evaluated for latent TB infection prior to therapy, infection ris, neoplastic disease; CI: active chronic or local infections
Definition
adalimumab
Term
Precautions/warnings: infection risk, potential for new onset cancer, get immunizations early/avoid live vaccines; Pegylated fab fragment
Definition
Cimzia
Term
See doc IMMEDIATELY if any signs of infections (pt can die from opportunistic infections that aren't address right away); seek medical attention if experience wt loss, persistent fever, sweating, cough, SOB, or fatigue
Definition
Golimumab
Term
Tends to be 2nd line; injection site rxns, HA, N/D, neutropenia; CI hypersensitivity to E. coli
Definition
Anakinra
Term
Black box: increased risk of serious infections; recombinant humanized mAb that binds specifically IL6R; no concurrent live vaccines
Definition
Tocilizumab
Term
Given as 30 min IV infusion on weeks 2 and 4 and q 4 weeks after that. Also given SC. Weight-based dosing.
Definition
Abatacept
Term
Anti-CD20 mAb; 2 IV infusions separated by 2 weeks then every 24 weeks; black box: infusion rxn, tumor lysis syndrome, severe mucocutaneous rxns, progressive multifocal leukoencephalopathy
Definition
Rituximab
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