NUR 2356 MODULE 10 ASSIGNMENT-PHARMACOLOGICAL TREATMENTS FOR ATHRITIS
MEDICATION Medication Mechanism Pertinent
generic and trade of Common Nursing Implications
name Action Side Effects &
drug classification Patient Teaching
Generic: Ibuprofen Decreases inflammation, - Headache Nursing Implications:
pain, and fever through - Abdominal -Assess pain and range
Trade: Motrin and inhibition of cramp of motion.
Advil. cyclooxygenase activity - Abdominal pain -Assess patient for skin
and prostaglandin - Dizziness rash.
Classification: synthesis. - Heartburn -Monitor temperature
Nonsteroidal - Nausea
anti-inflammatory drugs Patient Teaching:
(NSAIDs). -Monitor vital signs and
pain level.
-Advise the patient to
not take more than the
recommended dose.
-Advise patients to take
ibuprofen with a full
glass of water and to
remain in an upright
position.
-Advise patient to
consult health care
provider if rash or any
abnormal symptoms
occurs.
Generic: Methotrexate It induces an increase in - Nausea Nursing Implications:
adenosine released from - Vomiting -Monitor vital sign and
Trade: Rheumatrex, and injured cells. Interferes - Mouth ulcers or report any changes
Trexall. with folic acid sores -Monitor blood glucose
metabolism. - Headaches -Weigh daily
Classification: - Fatigue -Monitor intake and
Antimetabolites output and report any
changes.
Patient Teaching:
-Advice patient to take
medication as directed.
-Report any abnormal
symptoms to physician.
-Caution patient to use
, sunscreen to prevent
photosensitivity.
Generic: Leflunomide May involve inhibition - Diarrhea Nursing Implications:
of an enzyme essential - Nausea -Assess for pain and the
Trade: Arava. for pyrimidine synthesis. - Stomach pain degree of swelling.
- Loss of appetite -Monitor for new onset
Classification: - Weight loss of lung disease.
disease-modifying - Headache/dizzin -Monitor for diarrhea
antirheumatic drugs ess and nausea, and allergic
(DMARDs). - Back pain reactions
- Numbness or
tingling Patient Teaching:
- Runny or stuffy -Instruct the patient to
nose take the medication as
- Itching or skin directed.
rash -Caution patient to avoid
activities requiring
alertness because it may
cause dizziness.
-Discuss the possibility
of hair loss with the
patient.
Generic: Relieves severe - Vomiting Nursing Implications:
Hydroxychloroquine inflammation of arthritis - Loss of appetite -Assess for pain,
and lupus - Weight loss swelling, and range of
Trade: Plaquenil - Diarrhea motion.
- Dizziness -Assess deep tendon
Classification: - Headache reflexes to determine.
Antimalarials - Skin rash muscle weakness.
- Hair loss -Monitor lab values.
Patient Teaching:
-Instruct the patient to
take the medication as
directed.
-Advise patients to avoid
the use of alcohol while
taking this medication.
-Notify physician if
experience fever,
unusual bleeding,
tinnitus, visual change,
and muscle weakness.
Generic: Infliximab Prevent the activity of - Chills, fever Nursing Implications:
MEDICATION Medication Mechanism Pertinent
generic and trade of Common Nursing Implications
name Action Side Effects &
drug classification Patient Teaching
Generic: Ibuprofen Decreases inflammation, - Headache Nursing Implications:
pain, and fever through - Abdominal -Assess pain and range
Trade: Motrin and inhibition of cramp of motion.
Advil. cyclooxygenase activity - Abdominal pain -Assess patient for skin
and prostaglandin - Dizziness rash.
Classification: synthesis. - Heartburn -Monitor temperature
Nonsteroidal - Nausea
anti-inflammatory drugs Patient Teaching:
(NSAIDs). -Monitor vital signs and
pain level.
-Advise the patient to
not take more than the
recommended dose.
-Advise patients to take
ibuprofen with a full
glass of water and to
remain in an upright
position.
-Advise patient to
consult health care
provider if rash or any
abnormal symptoms
occurs.
Generic: Methotrexate It induces an increase in - Nausea Nursing Implications:
adenosine released from - Vomiting -Monitor vital sign and
Trade: Rheumatrex, and injured cells. Interferes - Mouth ulcers or report any changes
Trexall. with folic acid sores -Monitor blood glucose
metabolism. - Headaches -Weigh daily
Classification: - Fatigue -Monitor intake and
Antimetabolites output and report any
changes.
Patient Teaching:
-Advice patient to take
medication as directed.
-Report any abnormal
symptoms to physician.
-Caution patient to use
, sunscreen to prevent
photosensitivity.
Generic: Leflunomide May involve inhibition - Diarrhea Nursing Implications:
of an enzyme essential - Nausea -Assess for pain and the
Trade: Arava. for pyrimidine synthesis. - Stomach pain degree of swelling.
- Loss of appetite -Monitor for new onset
Classification: - Weight loss of lung disease.
disease-modifying - Headache/dizzin -Monitor for diarrhea
antirheumatic drugs ess and nausea, and allergic
(DMARDs). - Back pain reactions
- Numbness or
tingling Patient Teaching:
- Runny or stuffy -Instruct the patient to
nose take the medication as
- Itching or skin directed.
rash -Caution patient to avoid
activities requiring
alertness because it may
cause dizziness.
-Discuss the possibility
of hair loss with the
patient.
Generic: Relieves severe - Vomiting Nursing Implications:
Hydroxychloroquine inflammation of arthritis - Loss of appetite -Assess for pain,
and lupus - Weight loss swelling, and range of
Trade: Plaquenil - Diarrhea motion.
- Dizziness -Assess deep tendon
Classification: - Headache reflexes to determine.
Antimalarials - Skin rash muscle weakness.
- Hair loss -Monitor lab values.
Patient Teaching:
-Instruct the patient to
take the medication as
directed.
-Advise patients to avoid
the use of alcohol while
taking this medication.
-Notify physician if
experience fever,
unusual bleeding,
tinnitus, visual change,
and muscle weakness.
Generic: Infliximab Prevent the activity of - Chills, fever Nursing Implications:
