Chapter 71 - NSAIDs

Question 1

What does NSAID stand for?

Answer 1

Nonsteroidal Anti-inflammatory Drugs

Question 2

What are the indications of NSAIDs? (4)

Answer 2

1. Reduce inflammation
2. Relieve pain
3. Reduce fever (Except Celecoxib)
4. Prevention of MI and CVA (Only aspirin)

Question 3

What are adverse effects of NSAIDs? (4)

Answer 3

1. Gastric Ulcers
2. Kidney Damage
3. Damage
4. Blunt effects of immunizations

Question 4

What is the drug of choice for arthritic conditions?

Answer 4

Aspirin - Sal

Question 5

What is the most effectice NSAID for joint pain, muscle pain, and HA?

Answer 5

Aspirin

Question 6

What is the drug of choice for fever reduction in *Adults?

Answer 6

Aspirin

Question 7

Which NSAID should not be used to treat fever in children, and what syndrome are children at risk for when this is taken?

Answer 7

Aspirin

Children are at risk for Reye’s Syndrome

Question 8

Which NSAID suppresses the aggregation of platelets (this drug thins blood)?

Answer 8

Aspirin

Question 9

Which NSAID is linked to preventing colorectal cancer?

Answer 9

Aspirin

Question 10

Which NSAID has a less risk of gastric ulcers as well as less risk of bleeding?

Answer 10

Ibprofen

Question 11

Which NSAIDs has an increased risk of MI and CVA? (2)

Which of the 2 has a significantly higher increased risk?

Answer 11

Ibprofen and Celecoxib

Increased Risk: Celecoxib

Question 12

Which NSAID was developed to reduce risk of gastric ulceration?

Is the overall risk completely negated when this NSAID is taken?

Answer 12

Celecoxib

Although gastric ulceration risk is reduced, comapred to other NSAIDs, the overall risk of gastric ulceration is still high

Question 13

*** What are the Nursing Considerations of NSAIDs? ** ( 7)

Answer 13

1. Take medication with food, milk, or water to reduce gastric upset
2. Do not crush enteric coated tablets
3. Do not consume alcohol with NSAIDs
4. Client should notify PCP if gastric irritation is severe
5. Stop high doses before surgery
6. Avoid aspirin in children (use acetaminophen instead)
7. Avoid use of NSAIDs to treat fever/pain associated with vaccinations

Question 14

Which drug is known as an Analgesic and Antipyretic?

Does this drug help with the reduction of inflammation?

Answer 14

Tylenol

Tylenol does not reduce inflammation

Question 15

Does Tylenol suppress platelet aggregation?

Does it reduce kidney function?

Answer 15

NO!

NO!

Question 16

Which drug blunts the immune response to vaccinations?

Answer 16

Tylenol

Question 17

Which drug can cause severe injury to the liver?

How many alcoholic drinks should not be consumed in conjunction with this drug?

What’s the daily dosage limit for this drug?

Answer 17

Tylenol

Should not be taken by those who consume 3 or more alcoholic drinks/day

Daily dose should not exceed 4000 mg

Question 18

What are the nursing considerations of Acetaminophen? (7)

Answer 18

1. Preferred for children with chickenpox or influenza
2. Inform patients of high risk of liver injury
3. Educate patient snot ot exceed daily dose of 4000 mg
4. Inform patients not to consume alcohol
5. For those not willing to stop alcohol consumption, daily dose should not exceed 2000 mg
6. For those who are undernourished, daily dose should not exceed 3000 mg
7. Avoid use of acetaminophen to treat fever/pain associated with vaccinations