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Skeletal muscle relaxants
Used to prevent or relieve muscle spasms. To treat spasticity(involuntary continuous muscle contraction) associated with spinal cord disease or lesions
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Skeletal muscle relaxants Contraindicated
- Severe liver, renal, or heart disease
- Should not be taken with CNS depressants
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Skeletal muscle relaxants Common Side effects
- Dizziness drowsiness and hypotension
- Dry mouth
- Gastrointestinal (GI) upset
- Photosensitivity
- Liver toxicity
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Anti-Gout Medications
- They inhibit production of uric acid
- They increase uric acid excretion in kidney
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Anti-Gout Medications side effect
- Blood dyscrasias such as bone marrow depression Flushed skin and skin rash
- Uric acid kidney stones
- Sore gums
- Metallic taste-in the mouth
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Anti-Gout Medications Interventions
- Monitor serum uric acid levels
- Maintain a fluid intake of at least 2000 to 3000 mL/day to flush the kidney to avoid kidney stones
- Instruct the client to avoid foods high in purine, such as wine, alcohol, organ meats, sardines, salmon, and gravy
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Acetylsalicylic acid (Aspirin)
Nonsteroidal anti- inflammatory drugs (NSAIDS)
Gold therapy
ANTIARTHRITIC MEDICATIONS
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Gold Therapy
Use to treat rheumatoid arthritis
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Gold Therapy Side effects
- Alopecia
- Stomatitis, Diarrhea and Hepatitis
- Gold toxicity
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Gold Therapy Interventions
- monitor the client for 30 minutes after injection for possible allergic reaction
- Educate client about the signs and symptoms of gold toxicity, which include pruritis, skin rash, metallic taste, stomatitis, and diarrhea
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Dimercaprol
Gold Therapy antitoxity
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Azathioprine (Imuran)
is an immunosuppressant, that is, a drug that is used to suppress the immune system.
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Etartercept (Enbrel)
Used to inhibit the inflammatory response associated with arthritis.
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Hydroxychloroquine sulfate (Plaquenil)
anti-malarials
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Leflunomide (Arava)Causes
hair loss
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Penicillamine (Cuprimine)
chelating agent meaning it attaches to and removes certain chemicals from the body-such as uric acid, metal such as copper in Wilson diseases and iron in iron poison.
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Calcium and vitamin D supplementation
Estrogen replacement therapy
Calcitonin (Calcimar)
Bisphosphonates
MEDICATIONS TO PREVENT AND TREAT OSTEOPOROSIS
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Bisphosphonates
These are medication used to inhibit the natural process of dissoving and removing old bone cells
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Bisphosphonates side effect
Causes severe gastrointestinal side effects
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Bisphosphonates intervention
Patient should not lie down or recline; patient should not eat or drink anything other than plain water; and do not take any other medicines including vitamins, calcium, or antacids
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Estrogen replacement Therapy
Mimic the effect of estrogen in bone by reducing bone resorption
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