RA and Gout

Question 1

What drug classes are use for RA?

Answer 1

• DMARDS
• NSAIDS
• COX-2 Inhibitor
• BRMs
• Other

Question 2

What are the DMARDS?

Answer 2

• Methotrexate
• Leflunomide
• Hydroxychloroquine

Question 3

Teaching with DMARDS?

Answer 3

• risk for infection

- do not drink ETOH (disulfiram effects)

Question 4

Who can NOT take a DMARDS

Answer 4

-pregnant woman

Question 5

What drug may be given with MEthotrexate to decrease SE?

Answer 5

Folic acid

Question 6

What is the COX-2 Inhibitor used for RA?

Answer 6

Celecoxib

Question 7

Teaching for Celecoxib?

Answer 7

It can cause sudden cardiac death

Question 8

How do BRMs work?

Answer 8

Minimize activity to tumor necrosis factor… changes the way the body reacts to the disease process

Question 9

What are the BRMs?

Answer 9

• Etanercept
• Adalimumab
• Infliximab

Question 10

What other meds can be used for RA?

Answer 10

• immunosuppressive agents

- Glucocorticoids

Question 11

Teaching for glucocorticoids?

Answer 11

Come off SLOWLY

Question 12

Teaching for Gout:

Food

Answer 12

• limit proteins (red meat, organ meat)

- avoid trigger foods!!

Question 13

Trigger foods are ______ the the person experiencing gout

Answer 13

specific

Question 14

What is the biggest preventative treatment for gout?

Answer 14

Drink plenty of FLUIDS!!!

Question 15

What type of diet for gout?

Answer 15

low purine, alkaline foods

Question 16

What foods are acidic?

Answer 16

(these must be avoided)

• meat, poultry, fish
• eggs
• dairy
• ETOH
• grains