150 Module 1 Meds

Question 1

NSAIDs meds

Answer 1

Aspirin (anacin)
Ibuprofen(Motrin, unprintable, Advil
Indomethacin(indocin)
Ketorolac tromethamine(toradol)
Celecoxib(Celebrex)
Etodolac(lodine)
Diclofenac(voltaren)
Naproxen(anaprox, naprosyn)
Piroxicam(feldene)

Question 2

Steroids

Answer 2

Increase blood sugar

Question 3

-dronate (medications)

Answer 3

Bisphonates

Slows/ stops bone break-down

Question 4

Actonel

Answer 4

Bisosphonate

Can take calcium & vit. D supplements w/it

Question 5

Bisphosphonates are….

Answer 5

Not a supplement
Reduces resorption
Increases bone density
Used for osteoporosis &pagets disease

Question 6

Calcium and vitamin D

Answer 6

Take for osteoporosis

1/3 should be taken at night

Question 7

Bisphosphonates

Answer 7

-dronate
Take in am w/ empty stomach
8 oz. H2O
Sit upright for 30-60 min after cannot eat either
Can cause esophageal irritation
REPORT difficulty swallowing IMMEDIATELY

Question 8

Hormone replacement therapy (HRT)

Answer 8

• Prevention strategy for reducing bone loss
• post menopausal woman
• increased risk of breast cancer, cardiovascular disease, & stroke
• MAKE SURE HRT benefits outweigh the risks

Question 9

Names of bisphosphonates

Answer 9

alendronate (Fosamax)
etidronate (Didronel)
ibandronate (Boniva)
pamidronate (Aredia)
risedronate (Actonel)
tiludronate (Skelid)

Question 10

Side effects for Bisphosphonates

Answer 10

• anorexia
• weight loss
• gastritis

Question 11

Selective estrogen receptor modulator

Answer 11

Mimic the effect of estrogen on bone by reducing bone resorption w/out stimulating the tissues of the breast & uterus

Question 12

Names of selective estrogen receptor modulators

Answer 12

raloxifene (Evista)

teriparatide (Forteo)

Question 13

Side effects for selective estrogen receptor modulators

Answer 13

• leg cramps

- hot flashes

Question 14

When are NSAIDs indicated…

Answer 14

Used as antiinflammatory
Antipyretic
Analgesic
Can be used w/ other agents

Question 15

Adverse reactions for NSAIDs

Answer 15

• GI irritation, bleeding. -Nephrotoxicty
• nausea, vomiting, constipation. -blood dyscrasias
• elevated liver enzymes
• prolonged coagulation time
• tinnitus
• fluid retention

Question 16

Nursing implications for NSAIDs

Answer 16

• take w/food or milk
• watch for signs of bleeding
• avoid alcohol
• observe tinnitus
• routine check liver/renal labs &CBC

Question 17

NSAIDs w/ hypertension

Answer 17

NSAIDs reduce the effect of ACE inhibitors in hypertensive clients

Question 18

Medications a nurse should be concerned about when preparing a pt for surgery?

Answer 18

• Aspirin
• multivitamin
• ST. Johns Wort (herbal, over-the-counter, can have excessive bleeding)

Question 19

Alendronate (Fosamax)

Answer 19

Bisphosphonate

Used for osteoporosis and Paget’s disease