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15 Cards in this Set
- Front
- Back
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Acetaminophen
a.) brand (2) b.) indication & area c.) max dose d.) precaution & avoid e.) d-d rxns f.) monitor |
Acetaminophen
a.) Tylenol, APAP; b.) mild to moderate pain for OA on hip & knee c.) 4 g/day d.) caution if pre-existing liver disease; avoid if chronic EtOH abust e.) warfarin. APAP increases bleeds < NSAIDs f.) liver function (if on high dose APAP); INR (if on warfarin) |
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NSAIDs
b.) indication & area c.) max dose d.) ADR major e.) precaution (4) f.) d-d rxns (4) g.) monitor (3) |
NSAIDs
b.) for OA pain in hand (oral/topical) hip (oral only), and knee (oral/topical) c.) 3600 mg/day d.) GI PROBLEMS e.) renal disease, GERD, PUD, heart failure f.) anticoagulants, lithium, ace-i & arbs, asa & other NSAIDs g.) Liver, renal, CBC |
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NSAID generic/brands (6)
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1.) M: Meloxicam (Mobic)
2.) I: Ibuprofen (Advil, Motrin) 3.) N: Naproxen (Naprosyn) 4.) N: Nabumetone (Relafen) 5.) D: Diclofenac (voloren) 6.) C: Celecoxib (Celebrex) |
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risk factors for GI events
(6) |
1.) greater than 65 years old
2.) many co-morbidities 3.) anticoagulants 4.) glucocorticoids 5.) history of PUD 6.) history of upper GI bleeding |
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OA in hands
a.) oral (2) b.) topical (2) c.) other c.) avoid (2) |
OA in hands
a.) oral NSAIDs or COX-2 b.) topical NSAIDs or capsacin c.) tramadol d.) intra-articulary therapy, opioids |
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OA in knees
a.) oral (2) b.) topical c.) other (2) d.) avoid (2) |
OA in knees
a.) oral APAP or NSAIDs b.) NSAIDs c.) tramadol, intraarticular corticosteroid injection d.) HA injection, opioids |
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OA in hips
a.) oral (2) b.) other (2) c.) avoid d.) no recommendations for (3) |
OA in hips
a.) oral APAP and NSAIDs b.) tramadol or intraarticular corticosteroid c.) glucosamine chondroitin d.) HA injection, opioids, topical NSAIDs |
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COX-2 inhibitor
a.) generic/ brand b.) indication & area c.) monitor (4) d.) concern e.) pros (2) & cons (1) f.) negation of pros |
COX-2 inhibitor
a.) celecoxib/ celebrex b.) mod-severe OA pain in hands c.) CBC, LFT, renal, BLOOD PRESSURE d.) heart disease e.) (+) less GI toxicity, doesn't interfere with platelet aggregation; (-) EXPENSIVE f.) aspirin negates the GI and platelet benefits if taken concomitantly with COX-2 |
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Capsaicin
a.) indication & area b.) cons (2) |
Capsaicin
a.) OA pain in the hands b.) burning, need to take 2-4 times daily for an effect |
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Diclofenac
a.) brand b.) indication & area c.) cons (10 |
Diclofenac
a.) voltoren (topical NSAID) b.) OA pain in hands and knees! c.) very expensive |
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glucocorticoid Intra-articular injection
a.) brands (2) b.) indication & area c.) place in therapy |
a.) methylprednisoline, triamcinolone
b.) OA pain in the knee c.) ADJUNCT therapy with analgesic. Short term use only |
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hya
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j
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tram
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j
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narc combo
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j
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glucosamin
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d
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