NSAIDs & Aspirin Mastery Name
This is the primary therapeutic purpose of anti-inflammatory drugs.
What is reducing pain and limiting inflammatory response?
Corticosteroids should be taken at this time of day to mimic normal physiology.
What is early morning?
These crystals cause the pain and inflammation in gout.
What are uric acid crystals?
DMARDs work by inhibiting this inflammatory mediator.
What is TNF (tumor necrosis factor)?
Dark stools indicate this serious complication
What is GI bleeding?
A patient taking NSAIDs reports mild GI upset. This is the BEST instruction.
What is take with food or milk?
A patient on aspirin is scheduled for surgery next week. This must be reported due to platelet effects lasting this long.
What is 7–8 days?
Corticosteroids should be taken at this time of day to mimic normal physiology.
What is monitor blood glucose?
This medication prevents gout by decreasing uric acid production.
What is allopurinol?
This is why DMARDs reduce tissue destruction in RA.
What is blocking inflammatory cascade?
Combining NSAIDs with this greatly increases bleeding risk.
What is alcohol?
A patient missed their NSAID dose and remembers near the next dose time. What should they do?
What is skip the missed dose and take the next scheduled dose?
A diabetic patient taking NSAIDs is at risk for this complication due to decreased blood glucose.
What is hypoglycemia?
Abrupt discontinuation leads to this life-threatening condition.
What is adrenal insufficiency?
These foods should be avoided to prevent gout attacks.
What are high-purine foods?
After giving etanercept, this action is contraindicated.
What is rubbing the injection site?
These patients should NOT take anti-inflammatory analgesics.
What are patients with liver disease, stroke, or TIA?
A patient on prednisone develops frequent infections. The nurse recognizes this as:
What is expected due to immunosuppression?
This adverse effect (ringing in ears) indicates possible toxicity and need to stop the drug.
What is tinnitus?
Abrupt discontinuation leads to this life-threatening condition.
What is immunosuppression?
This lab value is elevated in gout—not potassium, calcium, or glucose.
What is uric acid?
This is the major infection-related risk with DMARD therapy.
What is immunosuppression/increased infection risk?
This happens when corticosteroids cause fat redistribution.
What is Cushing syndrome?
A patient on long-term steroids is being transferred and develops a skin tear. The MOST likely cause is:
What is skin fragility from corticosteroids?
This life-threatening pediatric condition is associated with aspirin use during viral illness.
What is Reye syndrome?
Name 3 classic signs of Cushingoid appearance.
What are moon face, buffalo hump, truncal obesity?
A patient continues gout attacks despite medication—this lifestyle factor is most likely the cause.
What is continued intake of purine-rich foods/alcohol?
These 4 drug classes may be used to treat RA.
What are NSAIDs, steroids, DMARDs, biologics?
Topical steroids should NOT be used in these conditions.
What are open wounds or infections?
A diabetic patient on prednisone reports increased thirst, frequent urination, and blurred vision. At the same time, they abruptly stopped the medication yesterday. Identify the TWO priority concerns.
What are hyperglycemia AND risk for adrenal insufficiency?