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7 Cards in this Set
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Skeletal Muscle Relaxant drug facts
Drugs include Baclofen, Fexeril, Robaxin, Zanaflex, even Valium! |
*Safety is priority r/t drowsiness
Contraindicated - severe liver, renal and heart disease *Monitor liver function test - hepatotoxicity can occur |
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Antigout meds - allopurinol (Zyloprim), colchincine, probenecid, sulfinpyrazone (Anturane) - precautions? SE?
Nursing interventions |
Cautionly in clients with GI, renal, cardiac or hepatic disease
SE - Blood dyscrasias (such as bone marrow suppression), flushed skin and rash, uric acid kidney stones (also HA, n/v, diarhhea, metallic taste and sore gums) Nursing interventions - Fluid intake 2000-3000/day to prevent kidney stones. Teach avoid high purine floods - wine, alcohol, organ meat, salmon, scallops and gravy |
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* Do not take _ with antigout med because it may cause increase uric acid. Take _ instead
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Avoid aspirin, take acetaminophen (Tylenol) instread (Saunders page 1004)
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Antiarthritic meds for rheumatoid arthritis
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These are catergorized as biological therapy - Enbrel (subcut), Humira (subcut), Remicade (IV)
There are in category DMARDS - methotrexate (Rheumatrex), Plaquenil and Arava (illustrated page 455) |
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For DMARD meds
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Monitor for signs of infection and report to MD (Saunders 1005)
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Special med taking for biphosphonates for osteoporosis - these increase total bone mass by inhibiting osteoclast-mediated bone resorption
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Risk of esophagitis - administer in am before eating or drinking take with full glass of water remain sitting or standing for at least 30 minutes (for med ibandronate 60 minutes) - Saunders 1007
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Amputation (LEG)- nursing interventions
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Keep a tourniquet at bedside.
Medicate for phantom pain First 24 hours - elevte the foot of bed to reduce edema; then keep the bed flat to prevent hip flexion contractures. For above the knee - prevent internal or external rotation of the limb. For external - place a sandbag, rolled towel... along outside of thigh to prevent ex. rotation. |
