Neuro Drugs

Question 1

What are the 4 A’s of Aspirins Antipowers

Answer 1

Antiinflammatory
Antipain (mild to moderate)
Antipyretic
Antiplatelet

Question 2

What are the four things to watch for with aspirin?

Answer 2

• Bleeding
• Tinnitus
• Stomach Pain
• Renal Impairment

Question 3

What is the scientific name for aspirin?

Answer 3

Acetylsalicylic acid

Question 4

What are the main classifications of aspirin? 4

Answer 4

Analgesic
Antipyretic
Antiplatelet
First-generation NSAID

Question 5

What is the action of Aspirin?

Answer 5

It is a non-selective cyclooxygenase inhibitor that decreases the formation of prostaglandins involved in the production of inflammation, pain, and fever. INhibits platelet aggregation.

Question 6

What are the main uses of aspirin?

Answer 6

Pain, inflammation, prophylactic for Ischemic strokes and MI’s

Question 7

What are the four main contraindications of aspirin?

Answer 7

• Hypersensitivity to salicylates
• Pregnancy
• Hx of Gi ulcers, peptic ulcers, or any bleeding disorders
• Pediatric with recent viral infection (Reye syndrome)

Question 8

What are the main side effects of Aspirin?

Answer 8

• Increased bleeding poteintial
• Epigastric distress
• heartburn
• nausea

Question 9

What are the s/s of aspirin toxicity?

Answer 9

• Resp. alkalosis the progresses into resp depression and acidosis
• Hyperthermia
• Sweating
• dehydration with electrolyte imbalance
• tinnitus
• Headache

Question 10

What are the 6 main nursing implications for aspirin?

MSTASP

Answer 10

• Give with milk or water to decrease gi irritation
• med safety to parents with children
• High tox potential in OA’s and Peds
• Avoid use with alcohol to decrease gi irritation
• stop use 1 week before surgery
• Determine the purpose

Question 11

What is the action of Heparin?

Answer 11

Enhanced the inhibitory actions of antithrombin essentially blocking the conversion of prothrombin to thrombin and fibrinogen to fibrin

Question 12

What are the 5 main uses for Heparin?

Answer 12

• Rapidly treats and prevents DVT, PE’s, and Emboli in Afib
• Disseminated intravascular coagulation (DIC)
• The preferred anticoagulant in pregnancy (does not cross the placenta and does not enter breast milk)
• Pts on Heart-lung machines and Dialyzers
• used as an adjunct to thrombolytic therapy of acute MI’s

Question 13

What are the three main precautions/Contraindications of Heparin?

Answer 13

• Bleeding tendencies (Hemophilia, Dissecting aneurysm, peptic ulcer)
• Thrombocytopenia, uncontrollable bleeding, threatened abortion
• Postoperative patients (esp. eye, brain, spine)

Question 14

What are the three main side effects of heparin?

Answer 14

• Injection site reaction
• Heparin-induced thrombocytopenia
• Spontaneous bleeding