post op pain management

Question 1

acetominophen

Answer 1

1) cox inhibitor

Question 2

NSAID

Answer 2

1) anti-inflammatory drug
2) ibuprofen
- non selective cox
3) vioxx, celebrex
- cox-2 selective
4) aspirin
- non selective but more for cox-1
5) peripheral pain

Question 3

miscellaneous analgesic

Answer 3

1) miscellaneous analgesics do not fit in a class
2) acetaminophen and ziconotide

Question 4

acetaminophen

Answer 4

1) no anti-inflammatory
- reduces fever
- analgesic
2) liver toxicity and rash
3) do no exceed 3g per day
4) duration every 6 hours
5) central pain

Question 5

cox inhibitor action

Answer 5

1) NSAIDS inhibit cyclooxygenase pathway
2) which stops prostanoid release
3) prevent noxious signal from reaching brain

Question 6

apsirin

Answer 6

1) more cox one selective
2) 4grams per day
3) active metabolites accumulate with repeated doses

Question 7

narcotic analgesic

Answer 7

1) moderate to severe pain
- acute or chronic
2) hydrocodone, Vicodin
- potential for abuse (schedule II)
3) tylenol with codeine is schedule III

Question 8

odeine

Answer 8

1) schedule II with tylenol, with empirin
2) 4-6 hours
3) 60 mg is equal to 650 mg of aspirin

Question 9

controlled

Answer 9

1) tylenol #3 (III), vicodin (II), norco (II)

Question 10

legend

Answer 10

1) amoxicillin, ibuprofen, peridex

Question 11

opioid addiction crisis

Answer 11

1) CDC
- 1.5 million abuse controlled substances regularly
- 152 million use controlled substances non medically
- 44 people die per day

Question 12

EPCS

Answer 12

1) token
- hard or soft
2) password
3) fingerprint
—
1) same workflow for all prescriptions both legend and controlled
2) prevents fraud and abuse

Question 13

axium eRx

Answer 13

1) know the steps