Exam 5 drugs

Question 1

Aspirin dose?

Answer 1

325mg PO Q4H PRN

Question 2

Ibuprofen Adult Dosing?

Answer 2

400mg PO Q4H PRN

Question 3

What is the pediatric ibuprofen dosing?

Answer 3

5-10mg/kg PO Q6H PRN

Question 4

What is the dosing of Ketorolac (Toradol)?

Answer 4

30mg IM/IV Q6H PRN

Question 5

What is the dosing for Naproxen?

Answer 5

440mg PO Q8H PRN

Question 6

What are NSAIDs used for?

Answer 6

mild pain, anti-inflammatory, antipyretic

Question 7

What are the side effects of NSAIDS?

Answer 7

bleeding, nephrotoxicity, fluid retention/hypertesion and black box warning for an increase in cardiovascular events.

Question 8

What is the dosing for Acetaminophen in adults?

Answer 8

325mg PO Q4H PRN

MAX dose: 3-4g/day (liver dz = 2g/day)

Question 9

What is the pediatric dosing for Acetaminophen?

Answer 9

10-15mg/kg PO Q4H PRN

Max dose of 75mg/kg/day

Question 10

What is Acetaminophen usually used for?

Answer 10

mild pain and antipyretic

Question 11

What are the common side effects of Acetaminophen?

Answer 11

Hepatotoxicity

Question 12

What anticonvulsants are commonly used for neuropathic pain?

Answer 12

Gabapentin and Pregabalin

Question 13

What is the dose for Gabapentin for pain control?

Answer 13

300mg PO day 1, then 300mg PO BID day 2 then 300mg PO TID day 3. Can continue to titrate until max of 3600mg/day is reached.

Question 14

What is the dose for Pregabalin for neuropathic pain?

Answer 14

150mg PO as a single dose daily or 75mg PO BID

Question 15

What type of pain are the anticonvulsants used for?

Answer 15

fibromyalgia, Neuropathy and post operative pain

Question 16

What are the side effects of the anticonvulsants?

Answer 16

Sedation and dizziness

Question 17

What are the SNRI’s used for pain treatment?

Answer 17

Duloxetine and Venlafaxine

Question 18

What is the dose of duloxetine for pain control?

Answer 18

30mg PO daily

Question 19

What is the dose of Venlafaxine?

Answer 19

37.5 - 75 mg PO daily

Question 20

What type of pain are SNRI’s used to treat?

Answer 20

Fibromyalgia, Neuropathy, Depression

Question 21

What are the side effects of SNRI’s?

Answer 21

Headache, sedation, weakness, nausea, HTN

Question 22

How should the doses of the SNRI’s be adjusted if the CrCl is less than 30?

Answer 22

Avoid duloxetine, and decrease venlafaxine dose by 50%

Question 23

What TCA can be used to treat pain?

Answer 23

Amitriptyline at 25mg PO daily

Question 24

What do the TCA’s help to treat?

Answer 24

Neuropathy and Depression

Question 25

What are the side effects of Amitryptiline?

Answer 25

anticholinergic side effects and sedation

Question 26

What two opioids can be used to treat mild - moderate pain?

Answer 26

Codeine and Tramadol

Question 27

What is the initial adult dosing for Codeine?

Answer 27

15-30 mg PO Q4H (Tablet or solution orally)

Question 28

What is the initial adult dosing for Tramadol?

Answer 28

50mg by mouth every 4 hrs

CrCl less than 30: 50mg PO Q12H

Question 29

What are the side effects of Tramadol?

Answer 29

Sedation and lowers the seizure threshold

Question 30

What type of pain is morphine used for?

Answer 30

Moderate to severe

Question 31

What is the initial adult dose for Morphine?

Answer 31

Adults: 15mg PO Q4H Peds: 0.15mg/kg PO Q3H

Question 32

What formulations does Morphine come in?

Answer 32

Oral IR, ER and solution, Parenteral and rectal suppository

Question 33

Hydrocodone/Acetaminophen (Norco) is for what type of pain? What starting dose?

Answer 33

Moderate pain. 5/325mg PO Q4H PRN

Question 34

What preparations does Norco come in?

Answer 34

IR tablet and abuse deterrent ER tablet

Question 35

Norco and Oxycodone both are renally excreted, which one has less accumulation?

Answer 35

Norco

Question 36

What type of pain does Oxycodone treat?

Answer 36

Moderate to severe

Question 37

What is the initial adult dosing for Oxycodone and Percocet?

Answer 37

Oxycodone IR 5mg PO Q4H PRN
Percocet: 5/325mg PO Q4H PRN
Oxycodone ER 10mg PO BID