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Ebook The hands-on guide to clinical pharmacology: Part 2

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Nội dung chi tiết: Ebook The hands-on guide to clinical pharmacology: Part 2

Ebook The hands-on guide to clinical pharmacology: Part 2

MUSCULOSKELETAL SYSTEMManagement guidelines (pp. 89-90)GoutOsteoarthritisOsteoporosisRheumatoid arthritisDrug classes (p. 91)CorticosteroidsIndividual

Ebook The hands-on guide to clinical pharmacology: Part 2l drugs (pp. 92-100)Alendronic acid; Allopurinol; Azathioprine; Celecoxib;Ciclosporin; Cyclophosphamide; Methotrexate; Penicillamine;PrednisoloneGOUTA

cute gout•In an acute attack give an NSA1D (e.g. indomethacin) but not aspirin, as it inhibits uric acid excretion•If NSAlDs are contraindicated, give Ebook The hands-on guide to clinical pharmacology: Part 2

colchicine or IM depot injection of corticosteroidsPrevention of gout•Reduce excessive alcohol intake and purinc-rich foods (oily-fish, liver, kidney

Ebook The hands-on guide to clinical pharmacology: Part 2

)•Encourage weight loss if appropriate•Consider allopurinol to decrease uric acid synthesis, or a uricosuric drug (i.c. probenecid, sulfinpyrazone) to

MUSCULOSKELETAL SYSTEMManagement guidelines (pp. 89-90)GoutOsteoarthritisOsteoporosisRheumatoid arthritisDrug classes (p. 91)CorticosteroidsIndividual

Ebook The hands-on guide to clinical pharmacology: Part 2propriate•Supply walking aid if necessary•Paracetamol and NSATDs for pain control•Intra-articular steroid injections are useful for inflammatory exace

rbations•Consider joint renlacement if nil in and loss of joint function•Maintain adequate calcium and vitamin Đ intake. Give supplements if necessary Ebook The hands-on guide to clinical pharmacology: Part 2

.•In the frail elderly, consider hip protector pants to prevent fractures from fallsTreatment•Confirm osteoporosis with bone densitometry•Advise lifes

Ebook The hands-on guide to clinical pharmacology: Part 2

tyle changes (as above)•Give a bisphosphonate (e.g. alendronic acid) or raloxifene (selective oestrogen receptor modulator) with calcium and vitamin D

MUSCULOSKELETAL SYSTEMManagement guidelines (pp. 89-90)GoutOsteoarthritisOsteoporosisRheumatoid arthritisDrug classes (p. 91)CorticosteroidsIndividual

Ebook The hands-on guide to clinical pharmacology: Part 2t protection, walking aids, orlholics, social services, GP and specialist)•Recommend regular physical exercise to maintain muscle bulk and joint mobil

ity Ebook The hands-on guide to clinical pharmacology: Part 2

MUSCULOSKELETAL SYSTEMManagement guidelines (pp. 89-90)GoutOsteoarthritisOsteoporosisRheumatoid arthritisDrug classes (p. 91)CorticosteroidsIndividual

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