Flashcards
Musculoskeletal
Flashcards do conjunto (49)
- 1Non-opioid analgesicAcetaminophen (Tylenol)
- 2Mechanism of ActionInhibits COX- 1 which blocks prostaglandin production. Actual MOA unkown.
- 3Adverse EffectsHepatoxicity
- 4Nursing Actions3g/day max
No alcohol
Med can be crushed
Acetylcysteine is antidote
Monitor LFT - 5First Gen NSAIDsAspirin, Ibuprofen (Advil, Motrin)
- 6Mechanism of ActionBlocks COX -1 and COX-2 activity to block synthesis of prostaglandins.
- 7ProstaglandinMake mucosal layer in stomach and play a role in platelet aggregation.
- 8Side EffectsBleeding tendencies
Renal dysfuntion - 9Nursing ActionsMonitor for signs of bleeds
Monitor for BUN and creatinine
Don't crush
DC 1 week before surgery
Take with food or milk - 10Second Gen NSAIDsCelecoxib (Celebrex)
- 11Mechanism of ActionBlocks COX-2 activity. Has no effect on prostaglandins
- 12Side effectsRenal dysfunction
Cardiovascular events - 13Nursing actionsTeratogenic
Monitor BUN and creatinine
Take with food or drink. - 14Centrally acting non-opioidTramadol (Ultram)
- 15Mechanism of ActionBinds to opioid receptors and blocks reuptake of norepinephrine and serotonin in CNS
- 16Side effectsSedation
respiratory depression
constipation - 17Nursing actionsmetabolized into codeine
monitor RR and vitals
administer with food or water
recommend lowest dose first - 18Opioid Pain MedicationMorphine Sulfate
- 19Mechanism of ActionMimics naturally occurring opioid.
Depresses CNS and alters response to painful stimuli - 20Side effectsRespiratory depression
abuse, tolerance
constipation
possible urinary retention - 21Nursing actionsMonitor RR and vitals
Assess pain
Risk for orthostatic hypotension
Monitor bowel function - 22Opioid antagonistNaloxone (Narcan)
- 23Mechanism of ActionBlocks opioid action
- 24Side effectsArrythmias
- 25Nursing ActionMonitor vitals
Administer slowly - 26Selective estrogen reuptake modulators (SERMs)Roloxifene (Evista)
- 27Mechanism of actionProduces estrogen like effects on bone
Reduces bone resorption - 28Side effectsFractures
VTE risk - 29Nursing actionsteratogenic
Monitor bone scans
Monitor for VTE - 30BisphosphonatesAlendronate (Fossamax)
- 31Mechanism of actionDecrease bone reabsorption by stopping osteoclast activity
- 32Side effectsphotosensitivity
esophagitis
N/V - 33Nursing actionsSit upright for 30 mins after med admin
Take on empty stomach
Give with full glass of water - 34HormoneCalcitonin (Miacalcin, Calcimar)
- 35Mechanism of actionInhibits osteoclast action and increases calcium excretion. decreases serum calcium
- 36Side effectsallergic reactions
hypocalcemia
rhinitis - 37Nursing actionsAsk about fish allergies
Monitor nares for patency
Check for hypocalcemia - 38Calcium replacementsCalcium carbonate (Tums)
- 39Mechanism of actionNon-dietary access to calcium
- 40Side effectshypercalcemia
Kidney stones - 41Nursing actionsCheck calcium levels
Give 1 hr before or 2 hrs after other meds
Monitor for s/s of hypercalcemia - 42Anti-Rheumatic Drugs (Nonbiological)Methotrexate (Rheumatrex)
- 43Mechanism of actionlower body's immune system
- 44Side effectsHair loss
Low WBC, RBC
Photosensitivity
Immunosupressant - 45Nursing actionsTeratogenic
No live vaccines
Increase fluid - 46Anti-Rheumatic Drug (Non-Biological)Hydroxychloroquine (Plaquenil)
- 47Mechanism of actionReduces inflammation
- 48Side effectsImmunosupression
- 49Nursing actionsMonitor labs and vitals
Informações
- Descrição
- Nursing FlashCards sobre Musculoskeletal, criado por Yean Ji Jung em 12-04-2020.
- Criado por
- Yean Ji Jung
- Visualizações
- 3
- Avaliação