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Flashcards

Musculoskeletal

Yean Ji Jung Nursing English 49 cards

Cards in this deck (49)

  1. 1Non-opioid analgesicAcetaminophen (Tylenol)
  2. 2Mechanism of ActionInhibits COX- 1 which blocks prostaglandin production. Actual MOA unkown.
  3. 3Adverse EffectsHepatoxicity
  4. 4Nursing Actions3g/day max
    No alcohol
    Med can be crushed
    Acetylcysteine is antidote
    Monitor LFT
  5. 5First Gen NSAIDsAspirin, Ibuprofen (Advil, Motrin)
  6. 6Mechanism of ActionBlocks COX -1 and COX-2 activity to block synthesis of prostaglandins.
  7. 7ProstaglandinMake mucosal layer in stomach and play a role in platelet aggregation.
  8. 8Side EffectsBleeding tendencies
    Renal dysfuntion
  9. 9Nursing ActionsMonitor for signs of bleeds
    Monitor for BUN and creatinine
    Don't crush
    DC 1 week before surgery
    Take with food or milk
  10. 10Second Gen NSAIDsCelecoxib (Celebrex)
  11. 11Mechanism of ActionBlocks COX-2 activity. Has no effect on prostaglandins
  12. 12Side effectsRenal dysfunction
    Cardiovascular events
  13. 13Nursing actionsTeratogenic
    Monitor BUN and creatinine
    Take with food or drink.
  14. 14Centrally acting non-opioidTramadol (Ultram)
  15. 15Mechanism of ActionBinds to opioid receptors and blocks reuptake of norepinephrine and serotonin in CNS
  16. 16Side effectsSedation
    respiratory depression
    constipation
  17. 17Nursing actionsmetabolized into codeine
    monitor RR and vitals
    administer with food or water
    recommend lowest dose first
  18. 18Opioid Pain MedicationMorphine Sulfate
  19. 19Mechanism of ActionMimics naturally occurring opioid.
    Depresses CNS and alters response to painful stimuli
  20. 20Side effectsRespiratory depression
    abuse, tolerance
    constipation
    possible urinary retention
  21. 21Nursing actionsMonitor RR and vitals
    Assess pain
    Risk for orthostatic hypotension
    Monitor bowel function
  22. 22Opioid antagonistNaloxone (Narcan)
  23. 23Mechanism of ActionBlocks opioid action
  24. 24Side effectsArrythmias
  25. 25Nursing ActionMonitor vitals
    Administer slowly
  26. 26Selective estrogen reuptake modulators (SERMs)Roloxifene (Evista)
  27. 27Mechanism of actionProduces estrogen like effects on bone
    Reduces bone resorption
  28. 28Side effectsFractures
    VTE risk
  29. 29Nursing actionsteratogenic
    Monitor bone scans
    Monitor for VTE
  30. 30BisphosphonatesAlendronate (Fossamax)
  31. 31Mechanism of actionDecrease bone reabsorption by stopping osteoclast activity
  32. 32Side effectsphotosensitivity
    esophagitis
    N/V
  33. 33Nursing actionsSit upright for 30 mins after med admin
    Take on empty stomach
    Give with full glass of water
  34. 34HormoneCalcitonin (Miacalcin, Calcimar)
  35. 35Mechanism of actionInhibits osteoclast action and increases calcium excretion. decreases serum calcium
  36. 36Side effectsallergic reactions
    hypocalcemia
    rhinitis
  37. 37Nursing actionsAsk about fish allergies
    Monitor nares for patency
    Check for hypocalcemia
  38. 38Calcium replacementsCalcium carbonate (Tums)
  39. 39Mechanism of actionNon-dietary access to calcium
  40. 40Side effectshypercalcemia
    Kidney stones
  41. 41Nursing actionsCheck calcium levels
    Give 1 hr before or 2 hrs after other meds
    Monitor for s/s of hypercalcemia
  42. 42Anti-Rheumatic Drugs (Nonbiological)Methotrexate (Rheumatrex)
  43. 43Mechanism of actionlower body's immune system
  44. 44Side effectsHair loss
    Low WBC, RBC
    Photosensitivity
    Immunosupressant
  45. 45Nursing actionsTeratogenic
    No live vaccines
    Increase fluid
  46. 46Anti-Rheumatic Drug (Non-Biological)Hydroxychloroquine (Plaquenil)
  47. 47Mechanism of actionReduces inflammation
  48. 48Side effectsImmunosupression
  49. 49Nursing actionsMonitor labs and vitals

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Description
Nursing Flashcards on Musculoskeletal, created by Yean Ji Jung on 12/04/2020.
Created by
Yean Ji Jung
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