Case Study

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A 70-year-old female was recently transferred to a skilled nursing facility for continued physical therapy, after sustaining a lumbar compression fracture and rib contusion post-fall. Her past medical history is significant for rheumatoid arthritis, osteoporosis, CAD, HTN, and type II diabetes. Aside from her cardiac and diabetic medications, she is currently taking hydroxychloroquine (Plaquenil) 200mg 2tabs daily, methotrexate (Rheumatrex) 2.5mg 8tabs weekly on Friday, vitamin D 400 IU 1tab daily, Oyster-Cal 500mg 1tab TID, alendronate (Fosamax) 70mg 1tab weekly on Wednesday, folic acid 1mg 1tab daily, and a multivitamin daily.

This activity contains 2 questions.

There are several classes of drugs used in the management of rheumatoid arthritis, which of those listed above are becoming first line agents and why?

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As these medications are relatively slow acting, many clients feel they are ineffective. What patient teaching is therefore required for clients receiving DMARD or immunosuppressant therapy for rheumatoid arthritis?

To create paragraphs in your essay response, type <p> at the beginning of the paragraph, and </p> at the end.

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