Drug Class - Antirheumatics

Front 1

Name 4 groups of antirheumatics?

Back 1

corticosteroids
DMARDs
NSAIDS
miscellaneous

Front 2

Name 8 corticosteroids?

Back 2

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

Front 3

Name 7 DMARDs?

Back 3

anakinra Kineret

etanercept Enbrel

hydroxychloroquine Plaquenil

infliximab Remicade

leflunomide Arava

methotrexate amethopterin, Folex, Folex PFS, Rheumatrex, Trexall

penicillamine Cuprimine, Depen

Front 4

Name 10 NSAIDs?

Back 4

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

Front 5

Name 2 miscellaneous antirheumatics?

Back 5

cyclosporine Neoral, Sandimmune, Gengraf

sulfasalazine Azulfidine, Azulfidine, EN-tabs, {PMS-Sulfasalazine}, {Salazopyrin}, {S.A.S.}

Front 6

Antirheumatics are used to manage symptoms of rheumatoid arthritis. These symptoms include? (2)

Back 6

pain
swelling

Front 7

In more severe cases, antirheumatics are used to slow down _____ destruction and preserve _____ function.

Back 7

joint
joint

Front 8

What 3 agents are used to manage symptoms such as pain and swelling?

Back 8

NSAIDs
aspirin
other salicylates

Front 9

________ 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.

Back 9

Corticosteroids

Front 10

Neither NSAIDs nor corticosteroids prevent disease _____ or joint _____.

Back 10

progression
destruction

Front 11

What does DMARD stand for?

Back 11

disease-modifying antirheumatic drugs

Front 12

What are DMARDs sometimes called?

Back 12

slow-acting agents

Front 13

DMARDs are used for severe cases because of their _____?

Back 13

toxicity

Front 14

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.

Back 14

months

Front 15

Both NSAIDs and corticosteroids have potent ____-_____ properties.

Back 15

anti-inflammatory

Front 16

DMARDs work by a variety of mechanisms. See individual agents, but most work by suppressing the ___-_____ response thought to be responsible for joint destruction.

Back 16

auto-immune

Front 17

Contraindications include?

Back 17

hypersensitivity

Front 18

Patients allergic to aspirin
should not receive other
_____?

Back 18

NSAIDs

Front 19

Which agent should not be used in patients with active untreated infections.

Back 19

Corticosteroids

Front 20

NSAIDs and corticosteroids should be used cautiously in patients with a history of ____ ____.

Back 20

GI bleeding

Front 21

________ should be used cautiously in patients with diabetes.

Back 21

Corticosteroids

Front 22

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.

Back 22

DMARDs

Front 23

NSAIDs may diminish the response to _____ and _____.

Back 23

diuretics
antihypertensives

Front 24

Corticosteroids may augment hypokalemia/hyperkalemia from other medications and increase the risk of ____ toxicity.

Back 24

hypokalemia
digoxin

Front 25

DMARDs increase the risk of _____ with other immunosuppressants.

Back 25

immunosuppression

Front 26

Assess patient monthly 3 things?

Back 26

pain
swelling
range of motion

Front 27

Potential Nursing Diagnoses?
(2)

Back 27

Pain, chronic
Knowledge, deficient, related
to disease processes and
medication regimen

Front 28

Instruct patient to contact hcp if no improvement is noticed with ___ days.

Back 28

three

Front 29

Clinical response to therapy can be evaluated by?

Back 29

improvement in signs and symptoms of rheumatoid arthritis.