Musculoskeletal

Beschreibung

Nursing Karteikarten am Musculoskeletal, erstellt von Yean Ji Jung am 12/04/2020.
Yean Ji Jung
Karteikarten von Yean Ji Jung, aktualisiert more than 1 year ago
Yean Ji Jung
Erstellt von Yean Ji Jung vor mehr als 4 Jahre
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Zusammenfassung der Ressource

Frage Antworten
Non-opioid analgesic Acetaminophen (Tylenol)
Mechanism of Action Inhibits COX- 1 which blocks prostaglandin production. Actual MOA unkown.
Adverse Effects Hepatoxicity
Nursing Actions 3g/day max No alcohol Med can be crushed Acetylcysteine is antidote Monitor LFT
First Gen NSAIDs Aspirin, Ibuprofen (Advil, Motrin)
Mechanism of Action Blocks COX -1 and COX-2 activity to block synthesis of prostaglandins.
Prostaglandin Make mucosal layer in stomach and play a role in platelet aggregation.
Side Effects Bleeding tendencies Renal dysfuntion
Nursing Actions Monitor for signs of bleeds Monitor for BUN and creatinine Don't crush DC 1 week before surgery Take with food or milk
Second Gen NSAIDs Celecoxib (Celebrex)
Mechanism of Action Blocks COX-2 activity. Has no effect on prostaglandins
Side effects Renal dysfunction Cardiovascular events
Nursing actions Teratogenic Monitor BUN and creatinine Take with food or drink.
Centrally acting non-opioid Tramadol (Ultram)
Mechanism of Action Binds to opioid receptors and blocks reuptake of norepinephrine and serotonin in CNS
Side effects Sedation respiratory depression constipation
Nursing actions metabolized into codeine monitor RR and vitals administer with food or water recommend lowest dose first
Opioid Pain Medication Morphine Sulfate
Mechanism of Action Mimics naturally occurring opioid. Depresses CNS and alters response to painful stimuli
Side effects Respiratory depression abuse, tolerance constipation possible urinary retention
Nursing actions Monitor RR and vitals Assess pain Risk for orthostatic hypotension Monitor bowel function
Opioid antagonist Naloxone (Narcan)
Mechanism of Action Blocks opioid action
Side effects Arrythmias
Nursing Action Monitor vitals Administer slowly
Selective estrogen reuptake modulators (SERMs) Roloxifene (Evista)
Mechanism of action Produces estrogen like effects on bone Reduces bone resorption
Side effects Fractures VTE risk
Nursing actions teratogenic Monitor bone scans Monitor for VTE
Bisphosphonates Alendronate (Fossamax)
Mechanism of action Decrease bone reabsorption by stopping osteoclast activity
Side effects photosensitivity esophagitis N/V
Nursing actions Sit upright for 30 mins after med admin Take on empty stomach Give with full glass of water
Hormone Calcitonin (Miacalcin, Calcimar)
Mechanism of action Inhibits osteoclast action and increases calcium excretion. decreases serum calcium
Side effects allergic reactions hypocalcemia rhinitis
Nursing actions Ask about fish allergies Monitor nares for patency Check for hypocalcemia
Calcium replacements Calcium carbonate (Tums)
Mechanism of action Non-dietary access to calcium
Side effects hypercalcemia Kidney stones
Nursing actions Check calcium levels Give 1 hr before or 2 hrs after other meds Monitor for s/s of hypercalcemia
Anti-Rheumatic Drugs (Nonbiological) Methotrexate (Rheumatrex)
Mechanism of action lower body's immune system
Side effects Hair loss Low WBC, RBC Photosensitivity Immunosupressant
Nursing actions Teratogenic No live vaccines Increase fluid
Anti-Rheumatic Drug (Non-Biological) Hydroxychloroquine (Plaquenil)
Mechanism of action Reduces inflammation
Side effects Immunosupression
Nursing actions Monitor labs and vitals
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