Etodolac (Lodine)
CLASSIFICATION
Nonsteroidal antiinflammatory analgesic
ACTIONS
Inhibits prostaglandin synthesis and produces analgesic and antiinflammatory effects. These actions will reduce the intensity of the pain stimulus reaching sensory nerve endings.
USES
• Acute long-term treatment of pain associated with osteoarthritis and rheumatoid arthritis
CONTRAINDICATIONS AND PRECAUTIONS
• Active peptic ulcer, gastrointestinal (GI) ulceration, chronic inflammation of GI tract, GI bleeding disorders
• Impaired renal and hepatic function
SIDE EFFECTS
• **Indigestion,** dizziness, headache, abdominal pain or cramps, diarrhea, nausea
• Causes less GI irritation and bleeding tendencies than other NSAIDs
NURSING IMPLICATIONS
1. Assess joints for pain and signs of inflammation.
2. Inspect affected joints for level of mobility.
3. *Monitor complete blood count and liver and renal function.*
4. *Observe for bleeding or bruising.*
5. ‡Teach the patient to swallow the capsules whole and not to crush or chew.‡
6. ‡Teach the patient not to take aspirin or alcohol during therapy.‡