Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Pharmacology PN2 > Pain Meds > Flashcards

Pain Meds Flashcards

1
Q

Naproxen

A

NSAID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Indomethacin

A

NSAID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Diclofenac

A

NSAID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Ketorolac

A

NSAID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Meloxican

A

NSAID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Piroxican

A

NSAID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Ketoprofen

A

NSAID

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Which medication(s) get prioritized?

A

Antiduretics and Microbial

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Celecoxib

A

Second Generation NSAID (selective COX-2 inhibitor)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

What can COX-1 result in?

A

Decreased platelet aggregation & kidney damage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

What does COX-2 result in?

A

Suppresses inflammation, mild to moderate pain, dysmenorrhea and fever reduction

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Complications of NSAIDS

A

-damage to gastric mucosa can lead to GI bleed
-risks increased if smoke or drink or have history with peptic ulcers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Nurses actions to complications of NSAIDS?

A

-observe for GI bleeding, black tarry stool and abdominal pain N+V
-administer PPI (-prazole) or H2 antagonist (-iodine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Teach the client about what when taking NSAIDs?

A

Take with food or 8oz of water or Milk and avoid alcohol

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Complication of NSAIDs: kidney

A

Impaired kidney function- look for decreased urine output, weight gain from fluid retention, increased BUN & creatine levels

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

NSAID dose for patients with CV disease?

A

Use the smallest effective dose

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Manifestations with NSAIDS?

A

Tinnitus, sweating, headache, dizziness, and respiratory alkalosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Aspirin antidote?

A

Charcoal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How and where is an aspirin toxicity managed?

A

As a medical emergency in the hospital

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Signs of aspirin toxicity

A

Fever, sweating and dehydration

Cool patient with tepid water when fever occurs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Interactions with NSAIDs

A

Anticoagulants: heparin and warfarin INCREASE risk of bleeding

Monitor PPT, PT and INR and alert client of risk of bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

What can you not take concurrently with Aspirin?

A

Ibuprofen

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

OTC interactions with NSAIDs?

A

Feverfew, garlic and ginger can increase risk for bleeding

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

To avoid interaction what should you tell the to patient do?

A

Notify HCP of any OTC, vitamins or herbal supplements

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

What does Acetaminophen do?

A

-slows the production of prostaglandins in the CNS
-relieves pain, preferred NSAID for children w/ viral infection
-reduce fever

26
Q

Complications of acetaminophen

A

Liver damage

27
Q

Liver damage manifestations?

A

N+V, diarrhea, sweating, and abdominal discomfort, hepatic failure, coma, and death

28
Q

When does hepatic injury appear after an acetaminophen acute toxicity?

A

48-72 hours

29
Q

Daily acetaminophen total intake

A

4 g/day for most clients
3 g/day for malnourished
2 g/day for 3+servings of alcohol daily

30
Q

Acetaminophen antidote

A

Acetylcysteine via duodenal tube to prevent emesis and aspiration

31
Q

Precautions when giving acetaminophen

A

Avoid in patients w

-hypersensitivity,
-severe liver impairment/disease, -impaired kidney,
-chronic alcohol use and malnutrition

32
Q

What does acetaminophen do to warfarin and heparin

A

Slows the metabolism of warfarin which increases levels of warfarin

-monitor prothrombin time & INR levels
-observe for bleeding indications (bruising, petechiae, hematuria)

33
Q

Alcohol does what with acetaminophen ?

A

Increases the risk of liver damage

34
Q

Tolerance

A

A normal biological adaptation to long-term use of a drug

35
Q

Physical dependence

A

Normal physiological response that that ppl experience after a week or more of continuous opioid use

36
Q

Somatic Pain

A

Localized in the muscles or bones

37
Q

Visceral pain

A

Organ pain; ex. cramping/pressure, bowel obstruction & tumors in the lung

38
Q

Neuropathic pain

A

-Associated w injury to PNS or CNS
-poorly localized and may be along nerve pathway
-occurs in patients w fibromyalgia, diabetic neuropathy and shingles
-fees like numbing, tingling, sharp, shooting or shocklike.

39
Q

Agonists

A

Stimulators
Ex. Meperidine (Demerol)

40
Q

Antagonists

A

Blockers

41
Q

What do opioid and opioid combinations do?

A

Bind to opioid receptors in the CNS to alter perception of pain

42
Q

Nursing implications for opioids and opioid combinations?

A

-can be combined with non opioid
-monitor vitals, level of sedation & RR
-Encourage fluids & fiber to prevent contipation
-Never crush extended release tabs

43
Q

Codeine (in Tylenol)

A

Contraindicated in pediatric patients

44
Q

Fentanyl

A

Sublimaze, Duragesic

-avoid patch in patients with fever..heat increases absorption
-transdermal & IV
-relieve post operative care & stable chronic pain
-path lasts up to 48-72hrs

45
Q

Hydromorphone

A

Dilaudid, Exalgo
Opioid

46
Q

Methadone

A

Dolophine

Long acting (bone pain)

47
Q

Tramadol

A

Ultram
Opioid
Lowers seizure threshold

48
Q

Corticosteroids

A

Toxic to some cancer cells; reduce pain by decreasing inflammation

End in -one

Administer with food

49
Q

Benzodiazepines

A

Treat anxiety or muscle spasms associated with pain

End in -Pam and -lam

Can cause sedation & increase risk of falls

No driving or heavy lifting

50
Q

Tricyclic antidepressant

A

Help relieve neuropathic pain

End in -ine

51
Q

Serotonin-Norepinephrine Reuptake Inhibitor

A

Treats nerve pain and depression

Ex. Duloxetine (Cymbalta)

Takes weeks to feel desired effects

52
Q

Anticonvulsants

A

Treat nerve pain

Must be taken regularly

53
Q

Which opioid are controlled released?

A

Oxycodone (OxyContin) & Morphine (MS Contin

54
Q

Naloxone

A

Narcan
-opioid antagonist that reverses or antagonizes effect of opioid
-treats overdose
-check RR; if less than 12RR, pinpoint pupils notify HCP
-opioid & alcohol increase respiratory depression coma and death

55
Q

Patient-Controlled Analgesia (PCA

A

Bolus
-only patient can push to dispense pain med

56
Q

Heat

A

-increases circulation, induce muscle relaxation
-contradicted in trauma bc it causes swelling by vasodilation
-don’t apply directly to the skin

57
Q

Cold

A

Reduces swelling, bleeding and pain in new injury

58
Q

Massages and exercise

A

Stretches and regain muscle tendon length and relaxes muscles

59
Q

2/10

A

Mild pain

60
Q

5/10

A

Moderate pain

61
Q

9/10

A

Severe pain

Pharmacology PN2 (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions