Musculoskeletal System Flashcards Preview

Pharmacology > Musculoskeletal System > Flashcards

Flashcards in Musculoskeletal System Deck (63):
0

Enteric-coated medications

Meds formulated to pass through the stomach into small intestine

1

DMARD

Medication that modifies rheumatic diseases

2

NSAID

Non-steroidal anti-inflammatory drugs

3

Immunosuppressant

Agent that interferes with normal reactions of immune system and prevents antibodies

4

Salicylate / ASA - Acetylicylic acid

Anti-inflammatory agent containing salicylic acid
(aspirin)

5

Common classes of meds used for treating rheumatic arthritis

NSAIDs, DMARDs, glucocorticosteroids

6

Are NSAIDs, DMARDs, & glucocorticosteroids safe for use by pregnant women

No

7

Common side effects of medications for musculoskeletal disorders

Nausea, vomiting, pain in abdomen, headache, constipation, diarrhea

8

In what order are arthritis meds initially prescribed

NSAID, DMARDS, Gold salt

9

Name some meds used against osteoporosis

Calmsatonin salmon, sodium fluoride & byphosphates

10

Patient teaching with osteoporosis about their use of alendronate (Fosamax)

Should be taken with an empty stomach, full glass of water, may cause esophagitis & patient must have adequate vitamin D for absorption

11

Is Fosamax used for treatment and prevention of osteoporosis

Yes

12

What is the goal of arthritis therapy

1. Relieve pain, inflammation, & stiffness
2. Maintain function & range of motion
3. Prevent joint deformity

13

Are NSAIDs rapid relief

Yes

14

Do NSAIDs cause gastric ulcers & bleeding tendancies

Yes

15

Are NSAIDs cheap, anti inflammatory & analgesic

Yes

16

Why do we treat arthritis with immunosuppressants

To reduce bodies autoimmune response to its own tissues

17

What two arthritis meds do not interplay in slowing the progression

NSAIDs & steroids
(relieve pain & inflammation)

18

Which arthritis med slows the progression of the disease

DMARDs slow progression

19

Side effects of NSAIDs that need to be reported to MD ASAP

Tinnitus, gastric bleeding & asthma

20

Is it recommended to take a nonsalicylate NSAID and ASA concurrently

No. Way to much med

21

If you are allergic to and cannot tolerate ASA's can you always safely use NSAIDs

No

22

Should NSAIDs be taken with food, milk, alcohol.

Take with food or milk. Do not take with alcohol

23

Can you buy salicylate NSAIDs OTC

Yes

24

2 NSAIDs available both prescription & OTC

Ibuprofen & Naproxen

25

Is Tylenol an NSAID

No

26

Is ibuprofen a non salicylate

Yes

27

Is Naproxen a non salicyclate

Yes

28

Is Celecoxib a non salicyclate

No. A cox inhibitor ( not NSAID )

29

Methotrexate is used as a DMARD to treat what other disease process

Cancer

30

What are cox inhibitors used for

Suppress inflammation, osteoarthritis, acute joint pain, rheumatoid arthritis

31

With what allergies do we avoid the use of cox inhibitors

Sulfa and penicillin drugs

32

How many drugs do we have that are in the cox inhibitor category
Do we use cox in generic name

One. Yes we use cox in generic name (Celecoxib)

33

Is ibuprofen an NDAID

Yes

34

Gold salts are classified as

Immunosuppressant DMARDs

35

Penicillamine is classified as

Immunosuppressant DMARD

36

Methodextrate is classified as

Immunosuppressant DMARD

37

Cyclosporine is classified ad

Immunosuppressant DMARD

38

What is the chemical designation for gold

AU

39

Is Golds chemical designation found in the name of gold preparations

Yes

40

Gold preparations can cause what side effects

Pruritis, stomititis, rash, blood dyscrasias

41

Gold preparations are used to treat

Rheumatoid arthritis, joint stiffness, pain & halts pregression of regeneration

42

What should you teach patients regarding gout

Avoid foods high in purines such as red meat, cheese & alcohol

43

Carisoprodol ( soma ) is classified as

Centrally acting muscle relaxant

44

Diazepam ( Valium ) is classified as

Centrally acting muscle relaxant

45

Methocarbomal (robaxin) is classified as

Centrally acting muscle relaxant

46

Cyclobenzaprine ( flexeral ) is classified as

Centrally acting muscle relaxant

47

Probenecid ( Benemid ) is classified as

Anti gout

48

Good sources of calcium for menopausal women

Tums & milk

49

What is required to maximize calcium absorption

Vitamin D & sunshine

50

Should calcium carbonate be taken before, during, or after meals

During or after not before

51

What agents increase muscle tone

Anticholinesterase

-ase = enzyme

52

Is drug treatment for arthritis short term or long term

Long term

53

Does drug treatment for arthritis change day to toy

No. Requires patient cooperation

54

Why and when are steroids given for rheumatoid disease

While in process of giving DMARDs to reduce pain and inflammation

55

Are steroids for rheumatoid disease given long term or short term

Short term

56

What do skeletal muscle relaxants cause

Central nervous system depression

57

Who makes the choice between skeletal muscle relaxants

Dr.

58

Can skeletal muscle relaxants cause dependency

Yes. Physical dependency.

59

Are the drugs of choice for muscle spasms central acting or direct acting

Both

60

Diazepam has what two effects when used for musculoskeletal disorders

Spasticity & other muscular conditions

61

Is any one skeletal muscular relaxant mex better than another

Nope

62

What is the most common symptom of musculoskeletal disorders

Pain