Salicylates “aspirin” Flashcards
1
Q
Indications
A
- pain
- antipyretic (adults only)
- antiplatelet
- anti-inflammatory
2
Q
Adverse effects (GI, antiplatelet, salicylism)
A
- N/V*
- dyspepsia*
- heartburn*
- epigastric discomfort*
- GI blood loss**
- hemorrhage**
- dizzy***
- tinnitus***
- difficult hearing***
- confusion
3
Q
Contraindication
A
- not in children or teens (with and without the flu or pox)**
- impaired renal function (nephrotic in increased doses**)
- not when pregnant
4
Q
Nursing implications
A
- admin with water and food
- max dose 650mg
- assess and reassess therapeutic effects and AE
5
Q
Pt education
A
- take as prescribed
- monitor bruise, bleed, tinnitus, hear loss
- stop 2 weeks before surgery
- prior allergic reaction stop
- limit alcohol
- caution on low Na diet—553 mg of Na
6
Q
Toxicity >300mcg/mL
A
Acute
- hyperpnea and resp alkalosis
- tachypnea/hyperventilation and met acid
- confusion
- pulmonary edema
- tetany
- fever
- stupor, delirium, coma, seizure
Chronic
- dizzy
- tinnitus
- mental confusion
7
Q
Treatment of toxicity
A
- gastric lavage
- activated charcoal
- IV Na bicarbonate
- hemodialysis
