21973530
Description
Flashcards by Yean Ji Jung, updated more than 1 year ago
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Created by Yean Ji Jung
over 4 years ago
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| Question | Answer |
| Selective estrogen reuptake modulators (SERM) | Raloxifene (Evista) |
| Mechanism of Action | Produces estrogen like effects on bone. Reduces reabsorption of bone |
| Side Effects | Stroke Pulmonary embolism DVT, VTE |
| Nursing Actions | Monitor bone density Take vit d and calcium and exercise Teratogenic |
| Bisphosphonates | Alendronate (Fosamax) |
| Mechanism of Action | Stops osteoclast activity decreasing bone reabsorption |
| Side Effects | GI disturbances Vision changes Photosensitivity |
| Nursing Actions | Give 30 mins before other meds or food Sit/stand after med admin for 30 mins Take with full glass of water |
| Hormone | Calcitonin (Miacalcin, Calcimar) |
| Mechanism of Action | Inhibits osteoclast activity and increases calcium excretion. Decreases serum calcium levels. |
| Side effects | hypocalcemia epistaxis polyuria rhinitis allergic rxn to fish |
| Nursing action | Ask allergies to fish! Educate on diet high in calcium and vit d Check for hypocalcemia |
| Calcium replacements | Calcium carbonate (Tums) |
| Mechanism of Action | Non dietary access to calcium. Increase calcium levels |
| Side effects | hypercalcemia kidney stones |
| Nursing Actions | Monitor Ca levels give 1 hr before or 2 hrs after other meds give 1 hr after meals |
| Disease Modifying Anti-Rheumatic Drugs (DMARD) nonbiological | Methotrexate (Rheumatrex) |
| Mechanism of Action | Decreases body's immune system |
| Side effects | low WBC, RBC hair loss photosensitivity immunosuppression |
| Nursing actions | Teratogenic avoid sunlight NO LIVE VACCINES hydrate pt |
| DMARD biological | Hydroxychloroquine (Plaquenil) |
| Tumor Necrosis Factor Alpha (TNF) | Encourages inflammation |
| Mechanism of action of DMARD biological | Blocks TNF reducing inflammation |
| Side effects | immunosuppression |
| Nursing Action | Monitor and trend lab values monitor vitals |
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