EXAM 3 pain management nonopiod

Question 1

Drugs used to relieve pain without possibility of causing physical dependency

Answer 1

Nonopiod Analgesics

Question 2

analgesic

Answer 2

pain relieving

Question 3

antipyretic

Answer 3

decrease body temperature

Question 4

anti-inflammatory

Answer 4

decrease inflammation

Question 5

nonopiod analgesics:

Answer 5

• salicylates
• non salicylate
• non steroidal anti-inflammatory drugs (NSAIDS)

Question 6

examples of salicylates

Answer 6

• aspirin (acetylsalicylic acid or ASA)

- Bayer, Ecotrin, Anacin

Question 7

aspirin woman became the new anti-power:

Answer 7

• Anti-inflammatory
• Anti-pain
• Anti-pyretic
• Anti-platelet aggregation

Question 8

when taking aspirin, watch for

Answer 8

• bleeding tendencies
• tinnitus
• stomach pain
• thrombocytopenia

Question 9

salicylates action

Answer 9

-Analgesic and anti-inflammatory action due to inhibition of prostaglandins
(Lower Temp by dilating peripheral blood vessels = cools body)

Question 10

ASA as anticoagulant

Answer 10

–Inhibits aggregation of platelets
(Important for MI and stroke patients)
–Prolong bleeding time =risk for bleeding

Question 11

Salicylates allergic reactions

Answer 11

hives, bronchospasm and anaphylaxis

Question 12

Salicylism

Answer 12

toxicity from repeated admin of large doses (reversible with dose reduction)

Question 13

S&S of salicylism:

Answer 13

• Tinnitus, Impaired Hearing
• Mental confusion, lassitude
• Sweating, tachycardia

Question 14

salicylates contraindications:

Answer 14

• known hypersensitivity to Salicylates or NSAIDS

- bleeding disorders or tendencies

Question 15

Children and Teens with flu or chickenpox should not salicylate take due to association with -

Answer 15

Reyes Syndrome (life threatening)
-> Vomiting, lethargy, progressing to coma

Question 16

antacids may ___ the effect of Salicylates

Answer 16

decrease

Question 17

Aspirin may ____ risk of bleeding during _____ administration

Answer 17

increase; heparin

Question 18

Admin with NSAIDS may ____ NSAID blood levels

Answer 18

increase

Question 19

NonSalicylates

Answer 19

-Acetaminophen (Tylenol)

choice for treating children w fever/flulike symptoms

Question 20

Actions of NonSalicylates

Answer 20

• Analgesic
• Antipyretic
• No Anti-Inflammatory actions

Question 21

Adverse reactions of NonSalicylates

Answer 21

• few when taken as directed
• urticaria
• pancytopenia
• JAUNDICE, hepatotoxicity, hepatic failure

Question 22

Tylenol overdose:

acute

Answer 22

10-15 g

Question 23

Tylenol overdose: fatal

Answer 23

20-25 g

Question 24

increase risk of tylenol overdose with-

Answer 24

chronic alcoholics

Question 25

tylenol overdose

Answer 25

liver cells die, cannot detoxify drug

Question 26

s&s of tylenol toxicity

Answer 26

- N/V - Jaundice, Liver tenderness - Hypotension - Confusion - Acute Hepatic and Renal Failure

Question 27

Caution w tylenol

Answer 27

- Chronic Alcoholics - Avoid concurrent use with Salicylates or NSAIDS - Cautious use in pregnancy - Cautious use in older adults

Question 28

NSAIDS

Answer 28

Inhibit prostaglandin synthesis by inhibiting an enzyme that triggers pain and inflammation.

Question 29

NSAIDS does not belong to

Answer 29

steroid group of drugs

Question 30

actions of NSAIDS

Answer 30

- Anti-inflammatory - Antipyretic - Analgesic

Question 31

EXAMPLES OF NSAIDS:

Answer 31

- Ibuprofen (Motrin, Advil) - Indocin - Toradol - Naproxen (Naprosyn) - Feldene - Celebrex, Vioxx

Question 32

USES of NSAIDS

Answer 32

- mild-mod pain - RA - Osteoarthritis - Dysmenorrhea (painful periods)

Question 33

NSAID adverse reactions GI tract

Answer 33

- A/N/V/D/C - Epigastric pain, indigestion - Abdominal distress, bloating - Intestinal ulceration - jaundice

Question 34

NSAID adverse reactions CNS

Answer 34

- Dizziness, vertigo, lightheadedness - Headache, anxiety - Insomnia, depression, confusion - Psychic disturbances

Question 35

NSAID adverse reactions cardiovascular

Answer 35

- CHF - Decrease or in crease in BP - Arrhythmias

Question 36

NSAID adverse reactions renal

Answer 36

- Hematuria, polyuria, dysuria, oliguria - Cystitis - Elevated BUN - Acute renal failure

Question 37

NSAID adverse reactions special senses

Answer 37

- Visual disturbances - Blurred vision, diplopia, photophobia - Tinnitus, taste changes,

Question 38

NSAID adverse reactions hematologic

Answer 38

- Luekopenia - Pancytopenia - Thrombocytopenia - Neutropenia

Question 39

NSAID adverse reactions skin

Answer 39

- Rash, irritation - Erythema - Exfoliative dermatitis - Ecchymosis

Question 40

NSAID adverse reactions metabolic/endocrine

Answer 40

- Weight increase or decrease - Hyper/hypoglycemia - Flushing, sweating - Menstrual disorders, vag bleeding

Question 41

Contraindication to NSAIDS

Answer 41

- known hypersensitivity - allergies to ASA - 3RD trimester of pregnancy and lactation

Question 42

precautions of NSAIDS

Answer 42

- Bleeding disorders - Renal disease - CV disease - Hepatic disease - Elderly (increased risk of ulcer formation in patients over 65)

Question 43

-Give with food, milk or full glass of water To prevent gastric upset -Avoid salicylates 1 week before major or minor surgery (To prevent post-op bleeding) -Avoid salicylates after surgery (use Tylenol or NSAID) until healing complete

Answer 43

salicylates

Question 44

- With full glass of water - With meals or empty stomach - Acetylcysteine (Mucomyst) is an antidote for acetaminophen (Tylenol) overdose

Answer 44

NonSalicylates

Question 45

- With food, milk or antacids | - Several weeks may be necessary on drug to receive full therapeutic response

Answer 45

NSAIDS