Podcast
Questions and Answers
For what type of conditions is aspirin generally prescribed?
For what type of conditions is aspirin generally prescribed?
What should be done prior to administering any NSAID or aspirin?
What should be done prior to administering any NSAID or aspirin?
What is the main reason for tapering corticosteroids rather than stopping them abruptly?
What is the main reason for tapering corticosteroids rather than stopping them abruptly?
What is the most common side effect of skeletal muscle relaxants?
What is the most common side effect of skeletal muscle relaxants?
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Which population is most often prescribed bone resorption inhibitors?
Which population is most often prescribed bone resorption inhibitors?
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What must the nurse advise the patient to do after taking the biphosphonate Fosamax or Boniva?
What must the nurse advise the patient to do after taking the biphosphonate Fosamax or Boniva?
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What does the abbreviation NSAID stand for?
What does the abbreviation NSAID stand for?
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Before administering calcitonin-salmon, what must the nurse check?
Before administering calcitonin-salmon, what must the nurse check?
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Study Notes
Aspirin Use in Musculoskeletal Conditions
- Aspirin is administered for conditions such as inflammation, pain relief, and fever reduction.
- Aspirin should not be given to individuals with bleeding disorders, active ulcers, or those allergic to salicylates.
Classifications and Timing of Aspirin
- Aspirin is classified into four categories: anti-inflammatory, analgesic, antipyretic, and antiplatelet agent.
- Aspirin should be discontinued 5 to 7 days prior to surgical procedures to minimize bleeding risks.
NSAIDs (Non-Steroidal Anti-Inflammatory Drugs)
- NSAID stands for Non-Steroidal Anti-Inflammatory Drug.
- NSAIDs should generally be administered with food to reduce gastrointestinal irritation.
- Prior to administering NSAIDs or aspirin, the nurse must check the patient’s medical history for allergies and kidney function.
Adverse Reactions of NSAIDs
- Common adverse reactions include gastrointestinal upset, bleeding, kidney damage, and elevated blood pressure.
Steroid Medications in Musculoskeletal Disorders
- Commonly used steroid drugs for musculoskeletal disorders include prednisone, hydrocortisone, and dexamethasone.
- Side effects of corticosteroids and glucocorticoids include weight gain, high blood sugar, hypertension, and impaired wound healing.
Steroid Tapering
- Corticosteroids must be tapered to prevent adrenal crisis caused by abrupt withdrawal.
Muscle Relaxants
- The most common side effect of skeletal muscle relaxants (SMRs) is drowsiness.
- Patient education for those receiving centrally acting skeletal muscle relaxants (cSMRs) should include avoiding alcohol and operating machinery.
Gout Management
- Gout is characterized by the accumulation of uric acid crystals in joints, leading to pain and inflammation.
- The goal in treating gout is to reduce uric acid levels; treatments include diet modification, hydration, and medication.
Nursing Actions for Antigout Medications
- Key nursing actions when administering antigout medications like allopurinol and colchicine include monitoring for signs of liver toxicity and educating patients about potential side effects.
Bone Resorption Inhibitors
- The main purpose of bone resorption inhibitors is to reduce the risk of fractures by decreasing bone loss.
- These medications are most often prescribed for postmenopausal women and patients with osteoporosis.
Selective Estrogen Receptor Modulators (SERMs)
- Women with a history of thromboembolic events should avoid taking raloxifene (Evista) due to an increased risk of blood clots.
Post-Administration Instructions for Bisphosphonates
- After taking bisphosphonates like Fosamax or Boniva, patients must remain upright for at least 30 minutes to prevent esophageal irritation.
Calcitonin-Salmon Administration
- Prior to administering calcitonin-salmon, the nurse must check for allergies to salmon protein.
- Calcitonin is available via subcutaneous, intranasal, and intramuscular routes.
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Description
This quiz covers the important aspects of administering aspirin and NSAIDs in the context of musculoskeletal disorders. It includes questions on contraindications, uses, discontinuation timelines before surgery, and potential adverse effects. Perfect for nursing students and healthcare professionals.
