Analgesics Flashcards
Salicylates Ex
Aspirin, magnesium salicylate, diflunisal
Salicylates MOA
inhibit prostaglandins
Salicylates uses
mild-mod pain, fever, rheumatoid arthritis, rheumatic fever, osteoarthritis, decrease risk of MI, decrease risk of ischemic attack, maintain pregnancy
Salicylates SE
gastric upset, heartburn, anorexia, GI bleeding
Salicylates CI
NSAID allergy, bleeding disorder
Salicylates precautions
lactation, hypoprothrombinemia, decrease vitamin k, GI irritation
Salicylates Interactions
Anticoagulants, NSAIDs, antacids, carbonic anhydrase inhibitors
Nonsalicylates ex
acetaminophen
Nonsalicylates use
mild-mod pain, fever, manage pain with arthritic disorders
Nonsalicylates SE
urticaria, hemolytic anemia, pancytopenia, hypoglycemia, jaundice
Nonsalicylates CI
alcohol, salicylates, NSAIDs
Nonsalicylates precautions
Preg/lact, severe pain/fever
Nonsalicylates interactions
barbiturates, hydantoins, isoniazid, rifampin, loop diuretics
NSAIDs MOA
block COX-1 and COX-2
NSAIDs uses
pain with musculoskeletal disorders, mild-mod pain, dysmenorrhea, fever
NSAIDs SE
anorexia, dry mouth, constipation, abdominal pain, stomatitis, jaundice, anx/depres, sleepiness, insomnia, BP changes, urinary issues, blood component level issues, rashes, visual, disturbances (literally every side effect under the sun)
NSAIDs CI
allergy to aspirin, preg/lact
NSAIDs precautions
elderly, bleeding disorder, CV disease
NSAIDs interactions
anticoagulants, lithium, cyclosporine, hydantoins, diuretics, antihypertensives, acetaminophen
NSAIDs ex
-profen, -ac, indomethacin, meclofenamate, mefenamic, meloxicam, nabumetone, oxaprozin, piroxicam, tolmetin, celecoxib
Antimigraines Ex
-triptan
Antimigraines MOA
serotonin 5-HT receptor agonists
Antimigraines SE
coronary artery vasospasm, arrhythmia, tachycardia, MI
Antimigraines CI
Ischemic heart disease, hypertension, MAOI
Antimigraines precautions
elderly, preg/lact
Antimigraines interactions
cimetidine, contraceptives
opioids ex
methadone, levorphanol, remifentanil, meperidine, hydromorphone, oxymorphone, oxycodone
opioids MOA
interact with mu, delta, kappa receptors
opioids uses
presurgery, relieve anxiety with certain conditions, severe pain, severe diarrhea, severe cough
opioids SE
sedation, agitation/insomnia, depression in breathing, anorexia, changes in HR, urinary retention, rash
opioids CI
acute bronchial asthma, emphysema, upper airway obstruction, head injury, convulsive disorders, severe hepatic/renal, ulcerative colitis
opioids precautions
elderly, ppl who haven’t used before
opioids interactions
alcohol, antihistamines, antidepressants, sedatives, phenothiazines, barbiturates
opioid antagonists ex
naloxone, naltrexone
`opioid antagonists use
opioid OD
opioid antagonists SE
sweating, tachycardia, hypertension, tremors
Local anesthesia ex
articaine, lidocaine, bupivacaine, chlorprocaine, mepivacaine, prilocaine, ropivacaine
Pre-anesthetic types
opioid/antianxiety, cholinergic blocking (dry the upper respiratory tract), antiemetic
General anesthesia ex
methohexital, midazolam, ketamine, fentanyl, droperidol