-Gaba analogue
-CNS depressant
-relieves s/s of spasticity, spinal cord injuries/diseases
-can cause transient drowsiness, weakness, constipation, headaches, insomnia, hypotension, urinary frequency
-take drug slowly over weeks
Baclofen (Lioresal)
What rx class is baclofen in?
muscle relaxant
What is another name for baclofen?
Lioresal
Which drug should you caution with a history of epilepsy, cardiac dysfunction& any condition marked by muscle weakness & hepatic/renal dysfunction
Baclofen
Which drug should you avoid CNS depressants and alcohol with?
Baclofen
-An antihypercalcemic agent
-slows normal & abnormal bone resorption (loss) without inhibiting bone formation and mineralization
-Treats & prevents osteoporosis in postmenopausal women & men
-treatment for glucocorticoid induced osteoporosis
-Treats Paget
Alendronate (fosamax)
what rx class is alendronate (fosamax) in?
biphosphonates
What is another name for alendronate?
fosamax
Which drug has contraindications with hypocalcemia, pregnancy/lactation, renal dysfunction and upper GI disease?
Alendronate (fosamax)
Which drug has adverse reactions of hallucinations, N/D, increased recurrent bone pain and esophageal erosin
Alendronate
Which drug should you avoid interacting with antacids, ca2+ products, iron & vitamins (these decrease oral absorption) & aspirin (GI distress)
alendronate (fusamax)
if antacids, ca2+ products, iron and vitamins have to be taken with alendronate when do you take them?
separate the drugs by 30 minutes
Which drug should the nurse admin note
- take on arising in the morning with a full glass of water, 30 min before food or bevarages
-remain upright 30 minutes
-monitor ca2+ regularly
-rotate injection site
-assess presence of lesions, abdominal exam, seru
alendronate (fosamax)
-antihypercalcemic agent
-inhibits bone resorption
-decreases serum ca2+ in children & patient's with paget's disease
-increases the excretion of filtered PO43-, Ca2+, & Na+ by the kidney
Calcitonin-Salmon (miacalcin)
What rx class is calcitonin-salmon (miacalcin) in?
calcitonins
What is another name for calcitonin-salmon?
miacalcin
Which drug treats
-Paget's disease
-Postmenopausal osteoporosis
-emergency treatment for hypercalcemia
Calcitonin-salmon (miacalcin)
Which drug is contraindicated with
-pregnancy/lactation
-allergies to salmon/fish products
-renal dysfunction
-pernicious anemia
calcitonin-Salmon (miacalcin)
Which drug has adverse reactions of
-flushing of the face/hands
-N/V
-local inflammatory reactions at injection site
-nasal irritation
avoid with anemia
*
Calcitonin-Salmon (miacalcin)
Which drug should the nursing admin note
-skin test for pt with hx of fish allergy
-have parenteral ca available in case of hypocalcemictetany
-monitor serum alkaline phosphatase & urinary hydroxyproline excretion before therapy and every 3-6 months after
calcitonin-salmon (miacalcin)