Health Supplement Alert Glucosamine and Chondroitin

Both glucosamine and chondroitin are used, in combination or alone, to treat arthritis, particularly osteoarthritis. Chondroitin acts as the flexible connecting matrix between the protein filaments in cartilage. Chondroitin can be produced in the laboratory or can come from natural sources (eg, shark cartilage). Some studies suggest that if chondroitin sulfate is available to the cell matrix, synthesis of the matrix can occur. For this reason it is used to treat arthritis. Although there is not...

Critical Thinking Exercises

Mary is a nurse who has returned too nursing after15 years absence to raise a family. Mary asks you what should be included in a teaching plan for a patient with rheumatoid arthritis now taking high doses of salicylates. Discuss what information you would suggest Mary emphasize in a teaching plan. 2. Ms. Leeds is prescribed methotrexate for rheumatoid arthritis not responding to other therapies. She is nervous about starting the drug after she was told that the drug can cause many serious...

Promoting an Optimal Response to Therapy

The nurse should give the NSAIDs with food, milk, or antacids. Patients who do not experience a therapeutic response to one NSAID may have such a response to another NSAID. However, several weeks of treatment may be necessary to receive full therapeutic response. The NSAIDs are prescribed for the pain and inflammation associated with arthritis. Because older adults have a higher incidence of both rheumatoid arthritis and osteoarthritis and may use the NSAID on a long-term basis, they are...