NSAID & Tylenol precautions Flashcards
precautions & contraindications
acetaminohphen - tylenol
why do we use this instead of nsiads?
absence of bleeding!
- decrease bleeding risk
why do we not want to give patients who have a massive history with alcohol or are taking alcohol with tylenol?
huge liver toxicity!
what is the antidote for a patient who is overdosing on tylenol?
acetylcysteine !
during an overdose of tylenol, what labs do we monistor?
ALT & AST
so review, what are the 3 a’s of acetaminophen ( tylenol )
absence of bleeding
- use in place of nsaids
alcohol history
- liver toxic
acetylcysteine = antidote
can we use tylenol and nsaids interchangingable ?
yes !
when you reach max dose on one, just swap to the other
what is the anagram to help remember nsaids medication names?
NSAIK!
what are the medications under nsaids ?
NSAIK
naproxen
salicylate acid ( aspirin )
acetylsalicylic acid ( aspirin )
ibuprofen & indomethacin
ketorolac ( toradol )
typically why do we give nsaids?
anti-fever and anti-inflammatory
what are the two common conditions that we usually end up giving nsaids for ?
gout or arthritits
NSAIDS is an anagram that we use to help the cautions and contraindications of this medication group. what does the anagram stand for ?
Not good for the body
sticky blood - clots!
asthma wrosening
increased bleed risk
dysfunctional kidneys
swelling heart
why is it not good for the body ?
nsaids
gi?
lungs?
heart?
kidneys?
blood?
gi bleeding - bad for ulcers
bad for asthma
hypertension & heart failure
increase creatinine & bun
blood clots risk
to prevent the creation of a blood clot in nsaids, what do we tell patients?
never take 2 nsaids at the same time and use the lowest dose possible
we always want to notify the doctor if the patient is having any form of bleeding when they are taking an nsaid. why ?
what are some signs of bleeding?
its not normal
- easy bruising, tarry tools/coffee-ground emesis - gi bleed
do we give nsaids to a patient who has peptic ulcer disease?
WHY?
never!
prostaglainds help coat the stomach lining, but nsaids are destroying these prostaglandins, so itll increase the risk of bleeding and worsen the ulcer
do we take nsaids with food or no food?
with food
can you take nsaids with a ppi?
yes
can we give nsaids for patietns with renal problems?
nope!
creatinine over 1.3
they cant?
urine output less than 30, means kidneys are in the ?
ketorlac kills the ??
they cant pee
distress
kidneys!
