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26 notecards = 7 pages (4 cards per page)

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labs and meds summary for musculoskeletal and renal

front 1

80% of patients with rheumatoid arthritits have a positive......

back 1

rheumatoid factor

front 2

shows there is an inflammation present in the body but not specific as to where....

back 2

  • erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP)
  • used to eliminate treatment response

front 3

positive when autoimmune process is in the body..... what is it used for?

back 3

antinuclear antibody (ANA). it is used for RA and lupus

front 4

anti-DNA antibodies and antiphospholipid antibody is more specific to what condition?

back 4

lupus. positive for antiphospholipid increase the risk for developing clots

front 5

anticentrome antibody is specific for....

back 5

scleroderma

front 6

why would hematocrit be low in a kidney dysfunction?

back 6

because the kidneys make erythropoeitin, which is a hormone that stimulates production of RBCs

front 7

uric acid is high in..... glucose can increase if patient is on what medication?

back 7

gout. corticosteroids

front 8

sodium levels could be low after what surgery?

back 8

TURP, done for BPH

front 9

what is treatment for a high potassium

back 9

regular insulin IV + glucose to prevent hypoglycemia, sodium bicarbonate, sodium polystyrene sulfonate - PO or enema, hemodialysis

front 10

metabolic acidosis in kidney dysfunction

back 10

low pH, low HCO3

front 11

what antibody is more specific to RA?

back 11

anti-citrullinated protein antibody (ACPA)

front 12

methotrexate is an immunosuppresant given to control what disease? what labs should you monitor and why? when should a patient not take this medication and what should a patient do while on this medication

back 12

it's taken to control RA and lupus. it keeps the immune system from making autoantibodies. you should monitor their WBC for signs of bone marrow suppression and also their liver function for signs of hepatotoxicity. watch for signs of infection. do not take if chance of becoming pregnant.

front 13

what is prednisione taken for?

back 13

for RA, gout, and lupus to decrease inflammation

front 14

atanercept and adalimumab blocks______, which is responsible for inflammation. given as _____ once a week, every ______ weeks or less often. they lower______. puts you at high risk for_______. watch for signs of______ or ____ monitor_______

back 14

  • tumor necrosis factor
  • subcutaneous injection
  • 2 weeks
  • immune system
  • infection or immunosuppresion
  • WBC

front 15

colchicine and allopurinol are used for what disease? to lower what?

back 15

gout, to lower uric acid levels

front 16

hydroxychloroquine is an antimalarial drug, which can also be used to treat.......

back 16

lupus

front 17

what medications are used to treat fibromyalgia

back 17

pregabalin, milnacipran, and SSRIs (antidepressant that helps with pain)

front 18

alendronate is a bisphosphanate for____? how many time is it given? what teaching is necessary? what is the MOA?

back 18

  • osteoporosis, given once a week.
  • take with full glass of water 30 minutes before eating or other medications.
  • inhibits bone resorption and keeps calcium in bones

front 19

medication for UTI_____

what patient teaching is necessary for this drug

back 19

  • trimethoprim/sulfamethoxazole
  • finish all antibiotics, do not stop taking if symptoms improve

front 20

amitriptyline is a tricyclic antidepressant for what condition? what does it do?

back 20

interstitial cystitis. it is used to reduce burning pain and urinary frequency

front 21

finasteride is used to treat what? how long would it take to show effectiveness? what labs should you monitor?

back 21

  • used to treat BPH, it helps reduce prostate size
  • it may take 6 months to show effectiveness
  • monitor PSA levels

front 22

tamsulosin is an alpha adrenergic receptor blocker for? what is the MOA? how long does it take to see improvement

back 22

BPH, it relaxes the smooth muscle of prostate to improve urinary symptoms. you usually see improvement in 2-3 weeks

front 23

what medication excretes potassium through diarrhea?

back 23

sodium polystyrene sulfonate (kayexalate) PO or enema

front 24

epoetin alfa is used for replacement of what enzyme

back 24

erythropoietin, given subcutaneously

front 25

calcium supplement treats....

back 25

low calcium levels that occur with kidney disease

front 26

phosphate binders are used to treat______what does it bind to? when should it be given

back 26

to treat high phosphorus. it binds phosphorus in the gut to be excreted in stool, it must be given with meals