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VN16 > Test 4 > Flashcards

Test 4 Flashcards

1
Q

Salicylates - Actions

A
  • antipyretic lowers body temperature by dilation of peripheral blood vessels
  • analgesics and anti-inflammatory , inhibit the production of prostaglandins
  • decreasing risk of myocardial infarction
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2
Q

Salicylates - Adverse Reactions

A

Gastrointestinal system reactions
-gastric upset
-heartburn
-nausea/vomiting
-anorexia
-GI bleeding

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3
Q

Toxicity - Salicylates

A

-ringing in ears
Antidote : activated charcoal

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4
Q

Non-salicylates - Actions & uses

A

Used to treat mild to moderate pain
-reduce elevated body temperature
-manage pain/discomfort
-in clients who received minor surgical procedures recently

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5
Q

Non - salicylates - adverse reactions (rare)

A

-skin eruptions, urticaria
-hemolytic anemia
-pancytopenia
-hypoglycemia
-jaundice , hepatotoxicity , and hepatic failure

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6
Q

Non-salicylates - toxicity (aspirin)

A

Can occur after a single dose and can be fatal at 20-25g
- signs of toxicity : nausea/vomiting , confusion , liver tenderness , hypotension , cardiac arrhythmias , jaundice , and acute hepatic and renal failure

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7
Q

NSAID - actions

A

Antipyretic - lowers body temperature by dilation of peripheral blood vessels
Analgesics and anti inflammatory - inhibit the production of prostaglandins

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8
Q

NSAID - contradictions

A

Known hypersensitivity to NSAIDS or aspirin
- cross sensitivity w other NSAIDS
- pregnancy 3rd trimester & lactation
- allergy to sulfonamides or history of cardiac disease or stroke ( celecoxib)
- hypertension, peptic ulceration , or GI bleeding (ibuprofen)

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9
Q

Vitamin K deficiency

A

Can’t have salicylates

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10
Q

Aspirin-toxicity

A

Tinnitus (ringing in the ears)

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11
Q

Acetaminophen 5 A’s

A
  • absence of bleeding
  • acetlcsystine
  • aspirin
  • avoid kids can cause possible Reye’s syndrome
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12
Q

Creatinine

A

Over 1.3 = bad kidney

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13
Q

Kidney in distress output

A

30 ml or less

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14
Q

Never take NSAIDS ;

A

With asthma , nasal polyps
- increased bleed risk looks like coffee grounds
Use acetaminophen instead

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15
Q

Antidote for opioid and heroine overdose

A

Naloxone
1-2 hour half life , monitor every 60 minutes
- respiratory rate below 12
- unarousable
- falling asleep while talking
- prepare to take 2nd dose for narcan call HCP
-below 90% o2 saturation

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16
Q

Opioid killer effects

A

Low respiratory rate = respiratory depression
Low blood pressure = hypotension
Low brain = CNS sedation

17
Q

Oxycodone

A

As scheduled , around the clock

18
Q

Ketorolac

A

Toradol

19
Q

NSAID , N is for

A

Naproxen

20
Q

Fentanyl - side effects

A

Constipation

21
Q

Fentanyl toxicity manifestations

A
  • euphoria
  • weakness
  • headache
  • constipation
  • dizziness
  • light headedness
  • hypotension
22
Q

Fentanyl use

A
  • treating severe pain , typically in advanced cancer patients
23
Q

Fentanyl considerations

A

Used w caution in elderly , monitor for adverse reactions , should not be used in opioid naiive clients

24
Q

Codeine use

A

Take as prescribed

25
Q

Enteric coated medications

A

Don’t chew , smash , or break medication

26
Q

Celecoxib uses

A

Used to treat mild to moderate pain and help relieve symptoms of arthritis , such as :
- inflammation
- swelling
- stiffness
- joint pain

27
Q

Celecoxib contraindications

A

-sulfonamide hypersensitivity
- acute bronchospasm , asthma , nasal polyps
- NSAID hypersensitivity
- salicylate hypersensitivity
- urticaria
- serious rash

28
Q

NSAID

A

Non steroidal anti inflammatory drugs

29
Q

Aspirin contraindications

A

Allergy to NSAIDS
- asthma , rhinitis , and nasal polyps

30
Q

Aspirin - adverse reactions

A
  • gastric upset
  • nausea
  • heartburn
  • vomiting
  • anorexia
  • GI bleeding
31
Q

NSAID precautions

A
  • allergy to NSAID
  • asthma
  • pregnancy category B
  • heart disease
  • bleeding disorders
32
Q

Opioid contraindications

A

-hypersensitivity to opioids
- asthma , acute bronchospasm , nasal polyps
- pregnancy category b & c
- emphysema
- severe renal or hepatic dysfunction
- acute ulcerative colitis

VN16 (4 decks)

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