21.06.2015

Naproxen sodium in treatment of bone pain due to metastatic cancer

Identify the major disorders that affect the musculoskeletal system, especially associated with aging.
Name related medications, their actions, uses, side effects and implications in treatment of musculoskeletal disorders. Describe the usual care of residents with musculoskeletal disorders, especially as it relates to medication administration. Bones are made of organic material-collagen, and inorganic material-calcium and phosphate. Cartilage-a softer tissue covering parts of some bones, lining joints, and gives shape to ears. Ligaments-bands of connective tissue which hold bones together and facilitate or limit motion. Muscle tone-muscles that are well exercised are always a bit contracted and ready for action. Major functions-provide movement and support the other systems of the body in performing functions such as digestion, movement, and respiration. Risk factors may include diabetes, cancer, hemodialysis, radiotherapy or other serious infection process which may enter the blood system.
Can flare up with heavy alcohol drinking, prolonged fasting, trauma, surgery or infection. Rheumatoid arthritis-a systemic disease affecting more than just the joints.A Cause is unknown. Overexertion, inflammations, sprains, arthritis, crippling conditions like Parkinson's, paraplegia, cerebral palsy, spinal cord injury.
Bone marrow depression-a serious side effect of some drugs-marrow may stop producing RBCs, WBCs and platelets. Supplements-vitamin, mineral, hormonal preparations may be added to promote healthy bones. Bone resorption inhibitor-decrease the removal of bone by absorption, thus maintaining bone density.
Anti-inflammatories, NSAIDs (non-steroidal anti-inflammatory drugs) relieve swelling, pain, stiffness associated with inflammation. Salicylates (ASA) can cause tinnitus, prolong blood clotting time, interfere with blood thinning medication. Cortisone can cause increased appetite, fluid retention, psychological or emotional changes.
Be mindful of any medication that can cause dizziness, instability when a resident is diagnosed as having osteoporosis. Provide comfort, assistive devices to reduce strain on muscles and bones, give medications, especially for pain, on time. Dona€™t forget to participate in the discussion board topics 4-6 for Unit 2 if you have not yet done so.
Are most helpful in reducing pain in order to proceed with other therapeutic interventions to retain mobility of joints. CNS depressant that relieves pain and stiffness in muscles from orthopedic disorders and injuries. In order to be effective some medications must be taken on empty stomach, others will cause gastric distress and must be taken with food or after eating. Example: Fosamax must be taken on an empty stomach, alone (no other medications given at the same time), and requires the resident to be upright, not lying down, for 30 minutes after taking the medication.



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