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antiarthritic drugs and skeletal muscle relaxants[NSAIDs,anti-inflamatory…

- - - - itching followed by rashes,which can progress to exfoliation
      - renal damage-urine must be tested for protein at each visit
      - bone marrow suppression required weekly blood counts and patient should report bleeding and bruising.
      - stomatitis
      - dose-related diarrhoea with auranofin,which can be stopped by a high fiber diet.
    - - Gold reduces swelling and treats the pain and stiffness.
      - disease progress in terms of joints and bone damage is slowed
    - - sodium aurothiomalate is usualy given weekly by deep intramuscular injection.
      - auranofin is given orally.
- - - - nursing considerations
      - contraindications
      - side effects
      - storage condition
      - route of administration
- - - - it exert itts effects partly by blocking the production of one or more of the inflamatory mediators
      - and by interfering with the actions of leucocytes
      - it also inhibits the the proliferation of lymphocytes.
    - - treats the morning sickness and joint pain of rheumatic arthritis
      - treats the skin lessions of lupus erythematosus
      - lupus erythematosus
    - - nursing consideration
        
        observe for ototoxins[tinitus,vertigo,changes in hearing ability.]
        
        observe for alergic reactions such as pluritis,rash,urticaria.
        
        opthalmic tests requiredc in long term treatment
        
        toxicity is a problem,observe for signs
      - contraindications
        
        patient with maculopaty
        
        chloroquine is contraindicated to patients with hearing loss,anemea and alcoholism
        
        decrease field defect and porphyria.
      - side effects
        
        headache,diarrhea,stomach pain,loss of appetite,hairloss,mood and mental changes
      - storage condition
        
        stored at room temparature(15-25 degres of celcius)
        
        protect from light
        
        products in powder form is stable for 6 months at room temparature when stored properly
        
        upon resuspension, chloroquine should be stored at 4degres
      - route of administration
        
        it is administered orally in the form of tablet or liquid
        
        injection