Chapter 15-16 Flashcards
Common pain transmitters
- prostaglandins
- histamines
- bradykinins
- substance P
Analgesic
Pain relievers
Antipyretics
Fever reducers
Anti-inflammatory
Reduce inflammation
NSAIDS analgesic, antipyretic, or anti-inflammatory
All three
Acetaminophen analgesic, antipyretic, or anti-inflammatory
Analgesic and antipyretic
Opiates analgesic, antipyretic, or anti-inflammatory
Analgesic
Mechanism of NSAIDS
Block prostaglandin synthesis
Mechanism of aspirin
Inhibits COX 1 and 2 leading to decreased prostaglandin synthesis
Mechanism of opioids
Inhibit the release of substance P
Difference between NASAIDs and celecoxib and what affect the side effect profiles of medication
Celecoxib only inhibits COX 2 which leads to less GI bleeding
Trade name for acetaminophen
Tylenol
Trade name of ibuprofen
Motrin or Advil
Trade name for celecoxib
Celebrex
Trade name for naproxen
Adleve
Three common opioids
Codeine, hydrocodone, oxycodone
Contraindications to opioid use
- known hypersensitivity
- CNS depression
- respiratory depression (<12/minute)
- avoid alcohol/CNS depressants
Common side effects of aspirin
GI bleed, bleeding, children under 12 could get Reyes Syndrome
Common side effects of NSAIDs
GI bleed, renal failure, fluid retention
Common side effects of acetaminophen
Adverse reactions are rare
Heptatoxicity with chronic use of high doses
Death with overdose
Side effects of opioids
Nausea/vomiting, sedation, constricted pupils, constipation, respiratory depression, physical and psychological dependence
Opioids Antagonists
Naloxone and naltrexone
Opioid antagonists common uses
- Acute opioid overdose
- maintenance of detoxification
Opioid antagonists contraindications
Avoid in patients with suspected narcotic dependence