PHARMACOLOGY MUSCULOSKELETAL SYSTEM Questions with Correct Answers.

PHARMACOLOGY MUSCULOSKELETAL SYSTEM Questions with Correct Answers. DRUG THERAPY FOR RHEUMATOID ARTHIRITIS INCLUDE WHICH MEDICATIONS? -NSAIDS -GLUCOCORTICOIDS -DISEASE-MODIFYING ANTIRHEUMATIC DRUGS (DMARDS) WHAT MEDICATION DECREASES JOINT INFLAMMATION, SUPPRESS' IMMUNE RESPONSE, AND HAS A SLOW THERAPEUTIC ONSET? DMARDS WHAT ARE THE 3 CATEGORIES OF DMARDS DRUGS? DMARDS 1: METHOTREXATE (RHEUMATREX) DMARDS 2: ETANERCEPT (ENBREL) DMARDS 3: OLD MEDS ONLY USED IN SEVERE CASES WHAT ARE SIDE EFFECTS OF DMARDS 1? LIVER DAMAMGE BONE MARROW SUPPRESSION INCREASE INFECTION RISK GI BLEEDING WHAT ARE SIDE EFFECTS OF DMARDS 2? INFECTIONS REACTIVATION OF TB HEART FAILURE SEVERE SKIN REACTIONS WHAT DOES THE NURSE HAVE TO LOOK OUT FOR WITH DMARDS? CBC, INFECTION, GI BLEEDING LIVER FUNCTION TESTS AVOID VACCINES WHAT ARE SOME CONTRAINDICATION FOR DMARDS? METHOTREXATE PREGNANCY RISK X LIVER & RENAL INSUFFICEIENCY WHAT MEDICATIONS CAN BE USED FOR OSTEOPOROSIS? SERMS BISPHOSPHONATES CALCITONIN CALCIUM SUPPLEMENTS RALOXIFENE (EVISTA) IS A PROTOTYPE DRUGE FOR WHAT? SERMS WHAT ARE SOME SIDE EFFECTS OF SERMS MEDICATIONS? PULMONARY EMBOLI DVT HOT FALSHES WHAT SHOULD THE NURSE LOOK OUT FOR WITH A PATIENT TAKING SERMS? MONITOR BONE DENSITY SIGNS FOR THROMBOEMBOLIC EVENTS WHAT SHOULD THE NURSE EDUCATE PATIENTS WHILE TAKING SERMS? -CONSUME CALCIUM AND VIT D -DAILY WEIGHT BEARING EXERCISES -USE CONTRACEPTION ALENDRONATE (FOSAMAX) IS A PROTOTYPE DRUG FOR WHAT? BISPHOSPHONATES- DECREASES OSTEOCLASTS WHAT ARE THE SIDE EFFECTS FOR BISPHOSPHONATES? ESOPHAGITIS MUSCLE & JOINT PAIN EYE PAIN & VISION CHANGES WHAT ARE THE CONTRAINDICATIONS FOR FOSAMAX? RENAL INSUFFICIENCY HYPOCALCEMIA LIVER DISEASE WHICH MEDICATION CANT PREVENT OSTEOPOROSIS AND IS USED FOR POST-MENOPAUSAL OSTEOPOROSIS & HYPERCALCEMIA FROM HYPERTHYROIDISM? CALCITONIN CALCITONIN-SALMON (MAICALCIN) IS THE PROTOTYPE FOR WHAT? CALCITONIN WHAT ARE SOME SIDE EFFECTS FROM CALCITONIN? HYPOCALCEMIA DECREASE IN THERAPEUTIC EFFECTS OVER TIME WHAT DOES THE NURSE HAVE TO LOOK OUT FOR WITH A PATIENT TAKING CALCITONIN? MONITOR FOR SIGNS OF HYPOCALCEMIA CHECK CALCIUM LEVELS IMPLEMENT A DIET HIGH IN CALCUM & VIT D CONTRAINDICATIONS WITH CALCITONIN? ALLERGY TO SALMON RENAL INSUFFICIENCY IF A PATIENT HAS HYPOCALCEMIA WHICH MEDICATIONS CAN BE USED FOR THE PATIENT? CALCIUM CITRATE (CITRACAL) CALCIUM CARBONATE (TUMS) WHAT ARE THE SIDE EFFECTS FOR CALCIUM SUPPLEMENTS? HYPERCALCEMIA KIDNEY STONES WHAT DOES A NURSE HAVE TO LOOK AT WHEN A PATIENT IS TAKING CALCIUM SUPPLEMENTS? CA LEVEL MONITOR GI EFFECTS, FLANK PAIN, I&O, BLOOD IN URINE DO NOT ALLOW PATIENT TO EAT SPINACH, WHOLE GRAINS DO NOT ALLOW THIAZIDE DIURETICS