Pain Medications Flashcards
NSAIDs Examples
Aspirin Ibuprofen Indomethacin Naproxen Celecoxib
NSAIDs Indications
inflammation
pain
fever
NSAIDs Precautions
hypersensitivity
may increase the risk of MI and stroke (non aspirin NSAID)
NSAIDs Complications
GI discomfort and ulceration
renal impairment
photosensitivity
NSAIDs Administration
administer with food and full glass of water
avoid lying down for 30 min after administration
use only as needed to reduce the risk of GI ulceration
use sunscreen
Glucocorticoid Examples
Prednisone
Prednisolone
Glucocorticoids Indication
inflammation
pain
Glucocorticoids Precautions
contraindicated in systemic fungal infection
do not administer live virus vaccines during therapy
should only be used for short duration
Glucocorticoids Complications
infection osteoporosis adrenal suppression GI discomfort hyperglycemia hypokalemia
Glucocorticoids Administration
do not skip doses monitor blood pressure monitor fluids/electrolytes, weight monitor for signs of bleeding, GI discomfort take calcium and vitamin D supplements give with food do not stop abruptly provide immunoprotection
Acetaminophen Indications
analgesic
antipyretic
Acetaminophen Precautions
use caution in clients who consume three or more alcoholic beverages per day
concurrent use of rifampin, INH, carbamazepine, barbiturates may increase hepatotoxic effects
slows the metabolism of warfarin
Acetaminophen Complications
nausea and vomiting
long term therapy: hemolytic anemia, leukopenia, neutropenia, thrombocytopenia
Acetaminophen Administration
monitor liver and kidney function
be aware of OTC sources of acetaminophen
do not exceed 4,000mg/24hr
provide education regarding risk of hepatotoxicity
administration to children should be based on age/weight
antidote: acetylcysteine
Opioids Examples
Fentanyl Hydromorphone Morphine Meperidine Codeine Oxycodone