Muscle Relaxants
Use of skeletal muscle relaxants.
What is to relieve pain and spasm of various acute musculoskeletal conditions?
Use of bisphosphonates.
What is: in patients with osteoporosis?
DMARDs have properties to produce what?
What is immonosupression?
2 medications used to treat gout.
What are allopurinol, colchicine, probenecid, sulfinpyzrazone?
3 classes of meds used to treat RA.
What are NSAIDS, corticosteroids, DMARDs?
Common adverse reactions to muscle relaxants. List 3.
What is drowsiness, dizziness, GI upset, tachycardia/bradycardia, rash, weakness?
3 common bisphosphonates.
What are Fosamax, Didronel, Boniva, Aredia, Actonel, Skelid, Zometa, Reclast?
3 different DMARDs.
What are: Hydroxychloroquine (Plaquenil), methotrexate (Rheumatrex), anakinra (Kineret)
Pain, swelling, joint deformity are symptoms of gout. What are these caused by?
What is deposit or collection of urate crystals in the joints?
2 Nursing Diagnoses for the patient receiving drugs for M/S disorders.
Risk for Injury r/t med-induced drowsiness. Readiness for Enhanced Fluid Balance r/t increased fluid intake to promote excretion of urate crystals. Impaired Comfort Gastric Distress r/t irritation of gastric lining.
3 common musculoskeletal relaxants.
What are: baclofen (Lioresal), carisoprodol (Soma), Chlorzoxazone (Parafon forte DSC), cyclobenzaprine (Flexeril), dantrolene (Dantrium), diazepam (Valium), Metaxalone (Skelaxin), methocarbamol (Robaxin), orphenadrine (Norflex), tizanidine (Zanaflex)?
Patient teaching for Fosamax and Actonel.
What is take these medications at least 1 hour before or 2 hours after a meal?
Trade name of etanercept?
What is Enbrel?
Possible contraindications of uric acid inhibitors.
What are: Hypersensitivity, ulcer disease, GI inflammation, GI, renal, hepatic or cardiac disorders?
Med used when pain of RA is no longer controlled by NSAIDS and corticosteroids.
What are DMARDs?
When not to use musculoskeletal relaxants.
What is: in patients with history of CVA, cerebral palsy, parkinsonism, seizure d/o, and during pregnancy and lactation?
Common adverse reactions of bisphosphonates.
What is nausea, abd pain, diarrhea, constipation, headache, arthralgia, fever, fatigue?
Adverse reactions to Enbrel.
What are: h/a, rhinitis, irritation at injection site, increased risk for infection.
Pregnancy categories that uric acid inhibitors fall into.
What are B and C?
Pt teaching for persons taking allopurinol.
Increase fluid consumption to greater than 2500 mL/day.
Meds that may interact negatively with musculoskeletal relaxants.
What are: CNS depressants (increased effect of CNS depression); MAOIs (risk for high fever and convulsions); orphenadrine (haloperidol) (increased psychosis); tizanidine (antihypertensive) (risk for hypotension)?
This medication is given IV once per year.
What is reclast?
Nausea, stomatitis and alopecia are all adverse reactions to this DMARD.
What is methotrexate?
Patient teaching for pt newly prescribed allopurinol. List at least 2 topics to discuss.
What are: Allopurinol's action is to help prevent build-up of urate crystals which leads to attacks. Report development of any new rash; Take med at first sign of acute attack; Report any symptoms of nausea.
The HCP prescribes 1.5 g methocarbamol QD po for muscle spasms. The nurse has 500 mg tablets available. The nurse administers _____.
3 tabs.