NURS 351 Study Guide - Midterm Guide: Shingles, Leflunomide, Chondroitin
Document Summary
Injection cushion into joint, hyaluronic acid is naturally made in the joint to protect it. 5 types available for the knee, 4 are contraindicated in egg allergy patients. Euflexxa is the only one allowed for egg allergy patients. Glucosamine made from crab shells (not for shellfish allergies!!) Strengthens and rebuilds the joint dosage: 1500 mg/day (3-500mg tablets) Chondroitin hydrophilic, helps retain water in cartilage. Showed that in all patients celebrex was better than the placebo. For mild pain, no difference between placebo and glucosamine/chondroitin. For severe pain there, glucosamine and chondroitin were superior to the placebo. Results: glucosamine and chondroitin did not slow the progression of cartilage loss. Dmards are used to delay or possibly stop progression of the disease. *do not initiate methotrexate if patients have an active bacterial infection, herpes zoster (shingles), hep b, c, or active/latent tb. Traditional dmards (none are analgesics: gold compounds - aurolate . Given via im injections weekly (injections work better than oral)
