Black Box Warnings: PAIN MEDS

Question 1

Potential for severe liver injury. Acetaminophen injection associated with acute liver failure.

Answer 1

Non-narcotic analgesic

Question 2

Serious risk of CV thrombotic event- MI & stroke. Increased risk of severe GI reactions with bleeding/ ulcerations/ perforation.

CONTRAINDICATED for recent CABG surgery pt.

Answer 2

NSAIDs

Question 3

Children or teenagers should not take aspirin to treat chickenpox or flu-like sxs because of the risk of Reye’s Syndrome. Reye’s syndrome primarily occurs in children in conjunction with a viral illness; it can cause sxs such as persistent vomiting, confusion, or loss of consciousness and requires immediate medical attention.

Answer 3

Salicylate

Question 4

The risk of serious adverse reactions, including slowed or difficulty breathing and death, have been reported with the combined effects of morphine and other CNS depressants. Naloxone is used to reverse opioid overdose. There is a risk of drug abuse and dependence with morphine.

Answer 4

Opioid analgesics (narcotics)