Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

NRSE-4550 Adult Care 2 > Exam 4 Medications > Flashcards

Exam 4 Medications Flashcards

(74 cards)

Start Studying
1
Q

What is the primary choice of treatment for osteoarthritis

A

acetaminophen (do not exceed 4,000 mg a day)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is the topical NSAID that can be used for osteoarthritis

A

diclofenac

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

How many times can topical diclofenac be applied a day

A

4

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the dose for ‘Arthritis strength’ acetaminophen

A

1,300 mg

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

topical lidocaine patches can be used for the treatment of

A

osteoarthritis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Patient teaching for topical lidocaine patches

A

-can be used for 12 hours at a time
-3 patches may be used on one joint at a time
-skin irritation can occur

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What injections can be given for patients with osteoarthritis

A

corticosteroid injections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how often can patients receiving corticosteroid injections get them

A

4 times / year

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is the OTC solution to lidocaine patches

A

Salonpas

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What is topical capsaicin

A

a complementary therapy for osteoarthritis

-works by blocking pain neurotransmitters

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Patient teaching for topical capsaicin

A

-burning is expected for a short time after application
-wear gloves and wash hands

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

How does glucosamine & chondroitin help alleviate pain and improve function in patients with osteoarthritis

-considered a complementary therapy and non prescription

A

-Glucosamine = decreased inflammation
-Chondroitin = strengthened cartilage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Is acetaminophen or an NSAID began first in patients with osteoarthritis

A

acetaminophen!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Why are NSAIDs given for patients with rheumatoid arthritis

A

-help relieve inflammation and pain

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What are examples of NSAIDs

A

-celecoxib, ibuprofen, naproxen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Adverse effects of NSAIDs include

A

tinnitus, stomach irritation, heart problems, liver and kidney damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What steroid may be given to reduce inflammation and pain in patients with rheumatoid arthritis

A

prednisone

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

side effects of prednisone include

A

-thinning of bones, weight gain, diabetes, immunosuppression

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

What is steroid ‘pulse therapy’ seen with rheumatoid arthritis

A

when high doses are given for short duration

-treats acute attacks
-goal is to gradually taper off

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what are examples of DMARDs (rheumatoid arthritis drugs)

A

-methotrexate
-leflunomide
-hydoxychloroquine
-sulfasalazine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Side effects of DMARDs include

A

-liver damage, bone marrow suppression, severe lung infections

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Hydroxychloroquine increases the risk of (ATI question)

A

developing retinopathy

-report blurred vision to the provider

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

What are the biologic response modifiers (BRM) drugs

A

abatacept, adalimumab, certolizumab, etanercept, golimumab, infliximab, rituximab, tofacitinib

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

What can be used as non pharmacological measures to help with rheumatoid arthritis

A

-fish oil
-plant oils (primrose, borage, black currant)
-tai chi

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Side effects of fish oil include
nausea, belching, and a fishy taste in the mouth
26
Patient teaching for fish oil
-interferes with medications, get approved by doctor
27
Side effects of plant pils include
nausea, diarrhea, gas
28
Patient education for plant oil s
some can cause liver damage or interfere with medications, so check with doctor
29
Calcium and vitamin D can be given for what disease process
osteoporosis
30
Calcium should be given all at once or divided doses?
divided doses
31
Should calcium supplements be taken on an empty stomach?
-no -give with food and 6-8 oz of water
32
Bisphosphonates, used to treat osteoporosis, have the suffix of
-dronate
33
Pt teaching for bisphosphonates?
-take on empty stomach before meals and other medications -take with full glass of water -sit up for 30 minutes after taking -maintain good oral care to prevent osteonecrosis of the jaw (should get approved by dentist before)
34
Long term bisphosponate therapy may result in
esophageal erosion, osteonecrosis, long bone fractures
35
How long are bisphosphonates taken before another DEXA scan is performed
3 years -if it is improved, the drug will be discontinued and reevaluated later
36
How do estrogen agonists/antagonists help to treat osteoporosis
-mimics estrogen to increase bone mineral density and reduce resorption
37
Patients cannot take estrogen if they have a history of
thromboembolism
38
What medications are given for acute gout
-colchicine -corticosteroids -NSAID
39
What drugs are given for chronic gout
-allopurinol -probenacid -febuxostat
40
Side effects of colchicine include?
-nausea, vomiting, diarrhea -take with food
41
Side effects of corticosteroids include
-mood changes, increased blood sugar, elevated blood pressure
42
side effects of NSAIDs
-stomach pain, bleeding, ulcers
43
What is the drug of choice to treat chronic gout
allopurinol
44
Side effects of allopurinol include?
fever, rash, hepatitis, kidney problems
45
Side effects of febuxostat include?
-rash, nausea, reduced liver function
46
Side effects of probenecid?
-rash, stomach pain and kidney stones
47
Patient instructions for treatments of gout include?
-take with a full glass of water -64 oz of water is great to reduce renal insufficiency -avoid aspirin (deactivates meds)
48
What type of diet should patients with gout eat
low purine diet
49
High purine foods include
-organ meats, shellfish, oily fish with bones, excessive ETOH
50
What type of drug use can increase patient risk of developing gout?
diuretics (especially HCTZ)
51
What drug can be administered to prevent breast cancer
Tamoxifen
52
What drugs are investigational for colorectal cancer prevention
NSAIDs
53
CAUTION acronym
Change in bowel and bladder habits A sore that does not heal Unusual bleeding or discharge Thickening or a lump in breast or else where Indigestion or difficulty swallowing Obvious change in wart or mole Nagging cough or hoarseness
54
What drugs can be given before chemo to prevent nausea and vomiting
-IV antiemetic i
55
What is given during chemotherapy to prevent nausea and vomiting and inflammation
oral antiemetic oral steroids
56
What drug is given to alkalize urine and prevent tumor lysis syndrome before chemotherapy
allopurinol
57
What medication is given for chemo to prevent major drop in WBC
-pegfilgrastim
58
A major side effect of pegfilgastrim
bone pain
59
What medication will be given subcutaneously each week while on chemo to prevent drug-related anemia
erythropoietin
60
What medication is given for iron deficiency anemia
ferrous sulfate 325 mg for 6-12 months
61
Patient education for ferrous sulfate
-vitamin C increases absorption -take through straw if liquid -take on an empty stomach unless not tolerated -stool will be dark green to black -causes constipation
62
What medication can be given for hemolytic anemia
corticosteroids
63
if anemia of chronic disease is caused by renal insufficiency, what medication do we give
epioetin alfa
64
What can inhibit iron absorption
-coffee, tea, milk, cereals, dietary fiber, carbonated beverages -Ca, Zn, Mn, Cu -antacids, H2 blockers, PPI's
65
Treatment for pernicious anemia
lifelong b12 injections
66
For b12 deficiency, our patients can take
-oral b12 -increase in diet
67
Treatment for folate deficiency is
-oral folic acid -parenteral folic acid
68
Pt education for folic acid supplementaiotn
-may turn pee dark yellow -may mask the signs of b12 deficiency
69
Foods high in folic acid include
-spinach, broccoli, lettuce, peas, beans, lentils, watermelon, orange juice, bananas, lemons, cereal, bread
70
Aggressive treamtent for AML drug
cytarabine
71
For elderly patients who cannot tolerate the aggressive treatment, what may we use for AML
hydroxyurea
72
Chronic myelogenous leukemia drugs
-hydroxyurea, busulfan, imatinib
73
Chronic myelogenous leukemia drugs if prognosis is 2-4 months
-anthracyclines -cystosine arabinoside -interferon - alpha
74

NRSE-4550 Adult Care 2 (5 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions