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29 Cards in this Set

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Name 4 groups of antirheumatics?
corticosteroids
DMARDs
NSAIDS
miscellaneous
Name 8 corticosteroids?
betamethasone
{Betnelan}, {Betnesol}, Celestone, Cel-U-Jec, {Selestoject}

cortisone (short-acting)
{Cortone}, Cortone Acetate

dexamethasone
Cortastat, Dalalone, Decadrol, Decadron, Decaject, Deronil, Dexacorten, Dexameth, Dexasone, Dexone, Hexadrol, Primethasone, Solurex

hydrocortisone
A-hydroCort, Cortef, Hydrocortone, Solu-Cortef

methylprednisolone
A-Methapred, depMedalone, Depo-Medrol, Depoject, Depopred, Duralone, Medralone, Medrol, Solu-Medrol

prednisolone
Articulose, Cotolone, Delta-Cortef, Hydeltrasol, Key-Pred, Nor-Pred, OrapredPediapred, Predacort, Predate, Pred-Ject, Prednisol, Prelone

prednisone
Cordrol, Deltasone, Liquid Pred, Meticorten, Orasone, Panasol-S, Pred-Pak, Prednicen-M, Prednicot, Sterapred

triamcinolone
Amcort, Aristocort, Aristospan, Atolone, Clinacort, Kenacort, Kenaject, Kenalog, Tac, Triam-A, Triam Forte, Triamolone, Triamonide, TriKort, Trilog, Trilone, Tristoject
Name 7 DMARDs?
anakinra Kineret

etanercept Enbrel

hydroxychloroquine Plaquenil

infliximab Remicade

leflunomide Arava

methotrexate amethopterin, Folex, Folex PFS, Rheumatrex, Trexall

penicillamine Cuprimine, Depen
Name 10 NSAIDs?
celecoxib Celebrex

flurbiprofen Ansaid

ibuprofen
{Actiprofein}, Advil, Advil Migraine Liqui-Gels, {Apo-Ibuprofen}, Children's Advil, Children's Motrin, Excedrin IB, Genpril, Haltran, Junior Strength Advil, Menadol, Medipren, Midil Maximum Strength Cramp Formula, Motrin, Motrin Drops, Motrin IB, Motrin Junior Strength, Motrin Migraine Pain, {Novo-Profen}, Nu-Ibuprofen, Nuprin, PediaCare Children's Fever

indomethacin
{Apo-Indomethacin}, {Indameth}, {Indocid}, Indocin, Indocin I.V., {Indocin PDA}, Indocin SR, Indochron E-R, {Novo-Methacin}, {Nu-Indo}

ketoprofen
Actron, {Apo-Keto}, {Apo-Keto-E}, Orudis, {Orudis-E}, Orudis KT, {Orudis-SR}, Oruvail, {Rhodis}

nabumetone Relaven

oxaprozin Daypro

piroxicam {Apo-Piroxicam}, Feldene, {Novo-Pirocam}, {Nu-Pirox}, {PMS-Piroxicam}

sulindac {Apo-Sulin}, Clinoril, {Novo-Sundac}

tolmetin Tolectin
Name 2 miscellaneous antirheumatics?
cyclosporine Neoral, Sandimmune, Gengraf

sulfasalazine Azulfidine, Azulfidine, EN-tabs, {PMS-Sulfasalazine}, {Salazopyrin}, {S.A.S.}
Antirheumatics are used to manage symptoms of rheumatoid arthritis. These symptoms include? (2)
pain
swelling
In more severe cases, antirheumatics are used to slow down _____ destruction and preserve _____ function.
joint
joint
What 3 agents are used to manage symptoms such as pain and swelling?
NSAIDs
aspirin
other salicylates
________ are reserved for more advanced swelling and discomfort, primarily because of their increased side effects, especially with chronic use. They are used for more acute flares of rheumatic disease.
Corticosteroids
Neither NSAIDs nor corticosteroids prevent disease _____ or joint _____.
progression
destruction
What does DMARD stand for?
disease-modifying antirheumatic drugs
What are DMARDs sometimes called?
slow-acting agents
DMARDs are used for severe cases because of their _____?
toxicity
Several _____ of therapy may be required before benefit is noted and maintained. Serious and frequent adverse reactions may require discontinuation of therapy, despite initial benefit.
months
Both NSAIDs and corticosteroids have potent ____-_____ properties.
anti-inflammatory
DMARDs work by a variety of mechanisms. See individual agents, but most work by suppressing the ___-_____ response thought to be responsible for joint destruction.
auto-immune
Contraindications include?
hypersensitivity
Patients allergic to aspirin
should not receive other
_____?
NSAIDs
Which agent should not be used in patients with active untreated infections.
Corticosteroids
NSAIDs and corticosteroids should be used cautiously in patients with a history of ____ ____.
GI bleeding
________ should be used cautiously in patients with diabetes.
Corticosteroids
Many _____ have immunosuppressive properties and should be avoided in patients for whom immunosuppresion poses a serious risk including patients with active infections, underlying malignancy, and uncontrolled diabetes mellitus.
DMARDs
NSAIDs may diminish the response to _____ and _____.
diuretics
antihypertensives
Corticosteroids may augment hypokalemia/hyperkalemia from other medications and increase the risk of ____ toxicity.
hypokalemia
digoxin
DMARDs increase the risk of _____ with other immunosuppressants.
immunosuppression
Assess patient monthly 3 things?
pain
swelling
range of motion
Potential Nursing Diagnoses?
(2)
Pain, chronic
Knowledge, deficient, related
to disease processes and
medication regimen
Instruct patient to contact hcp if no improvement is noticed with ___ days.
three
Clinical response to therapy can be evaluated by?
improvement in signs and symptoms of rheumatoid arthritis.