Salicylates

Question 1

Medications

Answer 1

• Aspirin (treats inflammatory conditions)

- Mesalamine (treats inflammation of large intestine)

Question 2

Actions

Answer 2

• Inhibits synthesis of prostaglandin, used to treat mild to moderate pain and fever
• Can block the inflammatory response
• Have antipyretic (fever-blocking) and analgesic (pain-blocking) effects

Question 3

Contraindications

Answer 3

• Allergy
• Bleeding abnormalities
• Impaired renal fx
• Pregnancy/lactation

Question 4

Adverse effects

Answer 4

-Effects on stomach and clotting symptoms

Question 5

Drug-drug

Answer 5

-Interact with other drugs by interfering with absorption

Question 6

Assessment

Answer 6

• History: allergy, contraindications or cautions, chickenpox or influenza in children
• Physical: Skin, VS, orientation and reflexes, perfusion, respirations and sounds, liver evaluation, bowel sounds, monitor lab tests

Question 7

Nursing diagnoses

Answer 7

• Acute pain r/t CNS and GI effects
• Ineffective breathing pattern if toxic effects occur
• Disturbed sensory perception if toxic effects occur

Question 8

Implementation

Answer 8

• Administer with food if GI upset is severe
• Check all drugs being taken for possible salicylate ingredients
• Monitor for severe reactions
• Ensure the pt is well hydrated
• Pt teaching

Question 9

Evaluation

Answer 9

• Monitor patient response
• Evaluate the effectiveness of the teaching plan
• Evaluate the effectiveness of comfort measures
• Evaluate patient compliance with the regimen