NSAIDs Flashcards

1
Q

What does NSAIDs stand for?

A

Non Steroidal Anti-Inflammatory Drugs

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2
Q

What are NSAIDs used for and name four uses?

A

Reduce inflammatory response and provide pain relief.

  • acute or chronic rheumatoid arthritis
  • osteoarthritis
  • ankylosing spondylitis
  • other rheumatic diseases
  • mild to moderate pain
  • gout
  • fever
  • non-rheumatic inflammation
  • dysmenorrhea
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3
Q

Name five adverse affects of NSAIDs.

A
  • gastrointestinal disturbances
  • renal damage
  • asthma attacks
  • bronchospasm, dyspnoea
  • dizziness
  • drowsiness
  • headaches
  • skin reactions (rash, urticaria)
  • arrhythmias
  • tinnitus (ring in the ears)
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4
Q

Aspirin is the earliest NSAID and an anticoagulant. True or false.

A

False. Yes, aspirin is on of the earliest NSAIDs but it is not an anticoagulant.

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5
Q

What are the adverse drug reactions of aspirin?

A
  • nausea
  • vomiting
  • gastric ulceration
  • bleeding
  • hypersensitivity
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6
Q

Name the interactions of aspirin.

A

Multiple interactions, but most significant is interactions with warfarin and other NSAIDs. Should be avoided in pregnancy and during breast feeding.

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7
Q

Name two properties of aspirin.

A
  • analgesic
  • anti-inflammatory
  • antipyretic
  • anti-platelet
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8
Q

What is Reye’s syndrome?

A

Form of encephalopathy and liver damage arising when aspirin is used in viral-type conditions in children, which can be fatal. It may cause permanent brain damage.

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9
Q

When does the peak serum levels occur after taking aspirin?

A

20-40 minutes later.

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10
Q

When is paracetamol used?

A
  • mild to moderate pain
  • fever
  • headache
  • osteoarthritis
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11
Q

What are the peak serum levels of paracetamol?

A

15-60 minutes and half life of 1-3 hours

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12
Q

What occurs through overdosage of paracetamol?

A

Irreversible liver and kidney damage, hypoglycaemia.

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13
Q

What does paracetamol inhibit and it’s effect?

A

Inhibits prostaglandin, but has no anti-inflammatory effect. Other effects include analgesic and antipyretic.

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14
Q

Whom is it important to avoid NSAIDs in late pregnancy?

A

It may increase the risk of bleeding and prolong labour.

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15
Q

What are the effects of opioids on the foetus?

A

Can cause physical drug dependence, resulting in severe withdrawal, as well as respiratory depression.

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16
Q

How is childbirth analgesia usually given?

A

Inhaled nitrous oxide or an epidural, with combined local anaesthetic and opioid.

17
Q

Why are NSAIDs relatively dangerous in the elderly?

A

GIT, renal and cardiovascular adverse effects.