Analgeics Flashcards

1
Q

prostaglandins

A

enzymes that lead to pain and inflammation

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2
Q

COX enzymes

A

-COX 1: in tissue and cells (contious)
-COX 2: inactive until pain and inflammation occur

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3
Q

NSAIDS: anti-prostagladins

A

-M: meloxicam
-I: ibuprofen
-I: indomethacin
-C: celecoxib
-K: ketorolac

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4
Q

Salicylate: Aspirin

A
  1. anti-prostaglandin
  2. ant-coagulant
  3. anti-pyretic
  4. analgesic
  5. ant-inflammatory
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5
Q

AE of Aspirin

A

-risk for bleeding, renal toxcity, dizzy

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6
Q

Nursing Implications of Aspirin

A

-Avoid kids
-Don’t crush/chew
-Max dose of 8,000 (325 for pain 81 for blood thinner)
-Monitor for allergies/bleeding

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7
Q

Non-Narc: Acetaminophen

A
  • acts on hypothalamus to increase sweating and lower pain
    -anagleisc and anti-pyretic
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8
Q

AE of Acetaminophen

A

-hepatox and renal failure

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9
Q

Nurse Implications

A

-look for rash
-monitor kid and liver (BUN/Creatine)
-Avoid alc
-Max 4,000 (325-650 dose)

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10
Q

ibuprofen/naproxen

A

-analgetic
-antipyretic
-anti-inflam

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11
Q

AE of ibuprofen

A

dyspepsia,GI uclers, renal tox, bronchospasm

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12
Q

Nurse implications ibuprof

A

-Allergy
-Cross hyper w/ aspirin
-400-800 dose (max 3200)
-take w/ food avoid alc

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13
Q

Meloxicam

A

-analgeic
-anti-inflam
-anti-pyretic

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14
Q

AE of melox

A

dsypena, rash, low blood, GI bleed high liver levels

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15
Q

Nurse implications of melox

A

-same as other nsaids, report rash, etc

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16
Q

indomethacin and ketorolac

A

-anti-inflam
-anti-pyretic
-analegic

17
Q

AE of indo and ketorlac

A

GI bleed, uclers, ab pain, vomit, somlance, renal impair

18
Q

Nurse im of indo and ketorlac

A

-hypersen to salicyte
-report pain, tarry stool, weight gain
-don’t drive

19
Q

Indomethacin

A

listed in beers critera

20
Q

Ketorolac

A

no more than 5 days post op (max: 120 a day)

21
Q

Cross-hypersensitvity

A

aspirin and ibprofuen

22
Q

Salicylism

A

signs:
-tinnitus
-dizzy
-nausea
-high temp/res
Treat:
sodium bicarb and charocal

23
Q

Acetaminophen OD treatment

A

acetylcystenine

24
Q
A