Question

PN 200 Fundamentals of Nursing II Osteoarthritis- Naprosyn An older adult patient has osteoarthritis. The patient had previously taken aspirin for the condition and later was prescribed naproxen (Naprosyn). Both drugs caused GI distress. The health care provider discontinued the naproxen and prescribed celecoxib (Celebrex) 100 mg twice a day 1. How does celecoxib differ from naproxen? 2. Describe the advantages and disadvantages of taking celecoxib for osteoarthritis 3. What is the rationale in checking the patient's renal and liver function before prescribing celecoxib being sure to include your rationale for your answer? 4. What should be included in the nursing assessment in regard to the patient's physical and drug histories? The patient states that the arthritic pain is not relieved with the new drug. The patient wants to take the celecoxib with the naproxen. 5. Explain the effects of these two medications when taken together. 6. What would be your best response to the patient's request being sure to include the rationale for your answer? 7. Develop a teaching plan for the patient that includes medication use and nursing measures to relieve pain, Reviewed 12/18

Answer 1

1.Celecoxib is available only with prescription whereas naproxen is available without prescription. Celecoxib doesn't interfere with clotting mechanism whereas in Naproxen the clotting factor is altered.Celecoxib is used to treat all types of pain whereas naproxen is used to treat mild to moderate pain

2.Advantage

• Controls pain effectively
• Reduces stiffness
• Decreased chance of ulcer
• Improves mobility and movement

Disadvantage

• Can cause liver disease and renal impairment
• Cardiovascular problems are associated while taking this medication

3.The metabolism happens in liver and excreted via urine ,so assessing the function of these organs are very essential.Any problem or disease may cause decreased absorption and delayedvon no excretion causing endangering side effects.

4.The patient history collect is necessary before staring this medicine

• Anthropometric measurements to calculate the dose
• Collect history of any drugs (blood thinners ,pain killer,NSAIDS) because this drug interact with it and may cause reactions
• Assessing the patient for any allergic history

Both the drugs cannot be given together, if given will cause harm to the patient and may result in fatal events.The drug may take up to two weeks to show its effects and improvement in the body