NUR 325: Pain Flashcards

1
Q

MOA of tramadol (Ultram)

A

Binds weakly to mu opioid receptors
Inhibits reuptake of both norepi and serotonin

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2
Q

Adverse effects of tramadol

A

drowsy, dizziness, headache, nausea, constipation, respiratory depression
Rare: Seizures

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3
Q

MOA of gabapentin (Neurontin) & pregablyn (Lyrica) - pronounce

A

to spontaneously suppress neuronal firing

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4
Q

Adverse effects of gabapentin & pregablyn

A

drowsy, dizzy, visual problems

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5
Q

Type of NSAIDS

A

aspirin (ASA), ibuprofen (advil), naproxen (Aleve), ketorolac (Toradol), celecoxib (Celebrex)

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6
Q

MOA of NSAIDS

A

Anti-prostaglandins
blocks key enzyme: cyclooxygenase (COX)- an enzyme that is crucial to the production of prostaglandins

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7
Q

Adverse Effects of NSAIDS- ASA, ibuprofen, naproxen

A

GI upset, stomach ulcers, GI bleeding, rash, edema, kidney failure, increases in BP, inhibits platelet aggregation, SOA in asthma patients

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8
Q

Adverse Effects of Celecoxib (Celebrex)

A

Serious Cardiovascular thrombotic events

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9
Q

NSAIDS Cardiovascular Risk

A

NSAIDS cause an increased risk of serious cardio thrombotic events, MI, stroke and increase risk for cardiovascular disease

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10
Q

NSAIDS Gastrointestinal Risk

A

Increased risk of serious GI bleeding, ulcerations and perforation of the stomach or intestines which can be fatal

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11
Q

Aspirin Adverse Effects

A

n/v, seizures, cerebral edema
chronic- tinnitus/hearing loss

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12
Q

Reye’s Sydrome for kids

A

NO ASPIRIN

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13
Q

Ketorolac (Toradol)

A

Post-Op setting to reduce pain and inflammation

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14
Q

Side Effects of Toradol

A

GI ulcers, high risk of renal dysfunction

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15
Q

MOA of Acetaminophen (Tylenol)

A

Unknown

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16
Q

Adverse effects of Acetaminophen

A
hepatic necrosis (acture) liver failure 
Look for - Jaundice
17
Q

MOA of IV Tylenol- Ofirmev

A

unknown