inflammation

Question 1

Cox 1

Answer 1

Involved in many body functions (normal):
Blood clotting, Protecting stomach lining, kidney

Good cox

Question 2

Cox 2

Answer 2

Active at site of trauma or injury (inflammation)
Pain, inflammation, vasodilation, bleeding

bad cox

Question 3

acetaminophen

Answer 3

reduces fever & pain. No anti-inflammatory benefit

Question 4

adverse effects for acetaminophen

Answer 4

liver failure

Question 5

nursing considerations for acetominophen

Answer 5

4 grams max daily dose
Acetylcysteine antidote for OD

Question 6

salicytate

Answer 6

aspirin

Question 7

use for salicylates

Answer 7

low dose (81mg) prevents CVA/MI

Question 8

adverse effects of salicylates

Answer 8

GI bleeding

Question 9

nursing considerations for salicylates

Answer 9

give with food and encourage hydration

Question 10

patient education for salicylates

Answer 10

hold at least 1 week before and after surgery

Question 11

propionic acid derivatives

Answer 11

ibuprofen

Question 12

adverse effects of propionic acid derivatives

Answer 12

GI effects
GI bleeding

Question 13

oxicam derivatives

Answer 13

meloxicam

Question 14

adverse effects for meloxicam

Answer 14

black box: GI bleeding and MI

Question 15

acetic acid derivatives

Answer 15

indomethacin

Question 16

adverse effects for acetic acid derivatives

Answer 16

black box: GI bleeding and MI

Question 17

Selective Cox 2 inhibitor

Answer 17

celecoxib

Question 18

adverse effects for selective cox 2 inhibitor

Answer 18

black box: risk for MI or CVA

Question 19

what are the three main steroid hormones

Answer 19

glucocorticoids (sugar)
mineralcorticoids (salt)
androgens (sex)

Question 20

corticosteroid therapy

Answer 20

prenisone

- one (steroid)

Question 21

adverse effects for corticosteroid therapy

Answer 21

Decreased immunity
Hyperglycemia
Fluid retention
thin skin, delayed wound healing

Question 22

nursing considerations for corticosteroid therapy

Answer 22

taper off dose!