Pain

Question 1

a nonsteroidal anti-inflammatory drug (NSAID) used to treat mild to moderate pain and help relieve symptoms of arthritis (eg, osteoarthritis, rheumatoid arthritis, or juvenile rheumatoid arthritis), such as inflammation, swelling, stiffness, and joint pain.

Answer 1

Celecoxib

Question 2

Antiarthritic Drugs

Answer 2

● Nonsteroidal antiinflammatory drugs (NSAIDs) -aspirin, ibuprofen, naproxen
● Glucocorticoids (-sone)
● Disease-modifying antirheumatic drugs (DMARDs) -Methotrexate

Question 3

Therapeutic Class: DMARD

Indication: Rheumatoid arthritis

Action: Reduce joint destruction and slow disease progression by interfering in immune and inflammatory responses.

Nursing Considerations:
● Lifelong therapy; treats symptoms but disease continues to progress
● Must treat RA aggressively: start a DMARD early—within 3 months of RA
○ Can be possible to delay or even prevent serious joint injury.

Answer 3

METHOTREXATE

Question 4

Antigout Drugs

Answer 4

● Nonsteroidal antiinflammatory drugs (NSAIDs) -ASPIRIN, IBUPROFEN, NAPROXEN
● Glucocorticoids (-SONES)
● Anti uric acid agents - ALLOPURINOL

Question 5

Therapeutic class: Hypouricemic agent

Indication: Gout

Action: Inhibits xanthine oxidase to prevent uric acid from forming.

Nursing Considerations:
● Monitor for side effects of leukopenia, fever, and rash
● Dosage must be individualized
● Teach to avoid foods high in purine
○ Beer, wine, cheeses, beans, anchovies, sardines, liver, kidneys, and cream.

Answer 5

Allopurinol

Question 6

Drugs for bone health

Answer 6

● Calcium ● Vitamin D ● Calcitonin ● Bisphosphonates

Question 7

Indication: Hypocalcemia, dietary supplement
Action: Supplement calcium

Nursing Considerations:
● Monitor for hypercalcemia

Answer 7

Calcium
Calcium acetate, calcium carbonate (Tums!!), calcium citrate, calcium gluconate

Question 8

Indication: Osteoporosis, Paget’s disease, hypercalcemia

Action: Inhibits the activity of osteoclasts and thus decreases bone resorption, and inhibits tubular resorption of calcium, thereby increasing calcium excretion

Nursing Considerations:
● Usually administered by nasal spray
○ Side effects: Nasal dryness and irritation

Answer 8

Calcitonin

Question 9

Indication: Osteoporosis

Action: Decreases bone resorption by osteoclasts

Nursing Considerations:
● Side effect: Esophagitis (CONTRAINDICATED IN CLIENTS WITH A PRE-EXISTING ESOPHAGEAL DISORDER)
● Take with a full glass of water
● Remain upright for 30 mins after taking (do not take supine or lie down after taking)
● If difficulty or pain with swallowing, or heartburn develop, clients should discontinue the medication and contact their provider

Answer 9

ALENDRONATE

Question 10

Therapeutic class: Centrally Acting Muscle Relaxer

Indication: Muscle spasticity: MS, CP, SCI

Action: Acts within the spinal cord to suppress hyperactive reflexes involved in regulation of muscle movement

Nursing Considerations:
● Monitor for CNS depression
● Do not discontinue abruptly - taper over 1 to 2 weeks
○ Can cause seizure

Answer 10

BACLOFEN