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Terms in this set (55)
Triptans (Sumatriptan/Imitrex) are used to?
relieve the pain of migraine headaches
Triptans are ________ and can be dangerous with what patients?
pt with HTN or CAD
Acetaminophen (Tylenol) is an _______ but not a ______?
Acetominophen overdose can be?
hepatotoxic (jaundice, fever)
antidote for acetaminophen is?
analgesic, antipyretic, anti inflammatory, platelet inhibitor
aspirin is used to prevent?
thrombus formation in the setting of CAD
side effects of aspirin?
Gi Distress - take with food
signs and symptoms of aspirin toxicity?
tinnitus (hearing loss) and hyperventilation
why is aspiring not recommended in children?
associated with Reye's- syndrome, a potentially fatal hepato-encephalopathy(loss of the brain function when a damaged liver doesn't remove toxins from the blood)
Reye's syndrome symptoms
severe nausea and vommiting
confusion, swelling in the brain, liver damage
analgesic, antipyretic, anti inflammatory
examples of NSAIDS?
ketoralac (toradol) and ibuprofen(motrin)
what NSAIDS can be given IV
how do NSAIDS work
decrease pain by inhibiting prostaglandins - work at the site of the pain
most common side effect of NSAIDS
serious side effects of NSAIDS
(black tarry stool, coffee ground emesis),
(bleed out) and
(hypertension, excess fluid)
what are cox 2 inhibitors?
NSAIDS with fewer GI side effects
what do you sometimes take with NSAIDS? Why?
Proton Pump Inhibitor or Mistoprostol
to decrease GI side effects
3 common opioids?
Morphine, Dilaudid, Fentanyl
how do opiates/opiods work?
stimulating opiate receptors in the CNS - decrease the perception of pain
potential side effects of Opiates/Opioids
decreased LOC, miosis,
, hypotension, nausea/vomiting, constipation, urinary retention, pruritis
scheduled meds are considered?
have a potential for abuse
Schedule 1 meds
presumed to be of no medical value and have a high abuse potential
not given in hospital
Schedule 2 meds
medical value but have high abuse potential
used less frequently because of its numerous drug interactions
can cause neuromuscular excitement
why does demerol cause neuromuscular excitement
has the Metabolite (normeoeridine)
opiate agonist - antagonists?
Nalbuphine (Nubain) and Pentazocine (Talwin) - they provide pain relief with decreased side effects
antidote for opiate overdose?
used to help with the side effects of gradual withdrawal from opiates
centrally acting anti hypertensive
side effect of clonidine (Catapres)
dry mouth - provide fluids/ice chips
what is gout
painful build up of uric acid crystals in a joint
former drug of choice for gout pain, has been replaced by NSAIDS
commonly used to prevent gouty pain by inhibiting the formation of uric acid - no value in an acute attack of gout
prophylactic anti-gout medication decreases uric acid levels
"narcotic antagonist" blocks opiate receptors
popular OTC anti-pyretic; not anti inflammatory
OTC anti-pyretic and pain reliever, cousin of NSAIDS
only NSAID that can be given IM or IV
popular OTC NSAID
vasoconstrictor used to treat migraines
Aspirin side effects/properties
Ibuprofen (Motrin) side effects/properties
Acetaminophen (Tylenol) side effects/properties
max safe dose for tynenol?
4000 mg a day
antidote for tynenol
8 - 48
7 - 56
what can you give to a 6 month year old with fever
tynenol not aspirin
what should you take with aspirin
food to prevent GI distress
heplato - encepthalopty symptoms
jaundice, yellow sclera, confusion
0.2, 0.4, 1
demerol side effects
Nulocon and talman
given together to prevent respiratory depression
misoprostol (Cytotec) can?
induce labor - use contraception when taking this med
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