Pain and Inflammation

Question 1

NSAIDs (aspirin, ibuprofen, ketorolac)

Answer 1

Take with food
Don’t give aspirin to children
Report abnormal bleeding
Salicylism = aspirin overdose
S/S: thromboembolic event (not applicable for aspirin), bronchospasm
CI: pregnancy

Question 2

Acetaminophen

Answer 2

Max 3000mg/day
Doesn’t treat inflammation
Safe for pregnant and asthmatic pts
Affects liver

Question 3

Tramadol

Answer 3

non-opioid
TX: moderate to severe pain
Monitor respirations and LOC

Question 4

Opioid Agonist (morphine, fentanyl, hydrocodone, oxycodone, meperidine)

Answer 4

Antidote: naloxone, naltrexone (IV or IN)
Assess: RR, Pain, LOC
Use pain levels for effectiveness of dose
S/S: low and slow (constipation, urinary retention, respiratory depression, somnolence)
meperidine is CI for older adults –> seizures

Question 5

Butorphanol, buprenorphine

Answer 5

Tx: migraine control, pain
S/S: bradycardia

Question 6

Allopurinol

Answer 6

Tx: gout (blocks formation of uric acid crystals)
Make sure pt is hydrated (>3L)
S/S: cataracts, skin discolaration
Get yearly eye exams

Question 7

Prednisone

Answer 7

S/S: hyperglycemia, osteoporosis, hypokalemia
Don’t give with live vaccines
TAPER
Since it is a steroid the infection risk increases