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48 Cards in this Set
- Front
- Back
name drug brands for acetysalicylic acid
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aspirin, anacin
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oral dose for acetysalicylic acid
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500-1000mg
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max daily dose for acetysalicylic acid
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4000mg
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FDA Preg risk catagory
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D- avoid during 3rd trimester
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Brand names for Acetaminophen
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Tylenol
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oral dose for Acetaminophen
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500-1000mg
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max daily dose for Acetaminophen
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4000mg
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FDA pregnancy risk catagory for Acetaminophen
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B- * safest during prenancy
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Brand names for Ibuprofen
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advil, nuprin, motrin
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usual oral dose for Ibuprofen
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200-800mg
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max daily dose for Ibuprofen
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2400 mg
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FDA preg risk category
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B or D ( tri 3rd
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brand names for naproxen
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naprosyn-same as ibuprofen but diff chem so diff potency/dosage
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oral dose for naproxen
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500mg loading dose then 250 mg
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max daily dose naproxen
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1250 mg
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FDA preg risk category
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B or C ( 3rd trim.)
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Brand name for Naproxen sodium
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Aleve, anaprox
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oral dose for Naproxen sodium
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550mg loading then 275 mg
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max daily dose for Naproxen sodium
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1375 mg
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FDA preg risk category
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B or C (3rd trim)
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Codeine w/ ASAratio
ASA= acetysalic acid |
30/325
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Codeine w/ APAP ratio
APAP= acetominophen |
30/325
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FDA preg risk cat for codeine asa and APAP
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c or D ( if used for prolonged period or in high doses
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Hydrocodone w/ ASA ratio
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5/500 mg
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Hydrocodone w/ ibuprofen ratio
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7.5/200mg
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Hydrocodone w/ APAP ratio
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5/500 mg
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FDA preg risk categ for the Hydrocodones
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C
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Oxycodone w/ ASA ratio
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5/325 mg
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Oxycodone w/ibuprfen
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5/400mg
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Oxycodone w/APAP
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5/500mg
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FDA pre risk categ for Oxycodone w/
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C
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Tramadol brand name
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ultram
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oral dose for Tramadol/ultram
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50mg
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max daily dose for Tramadol/ultram
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400mg
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brand name for Tramadol w/ APAP
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ultracet
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ratio for ultracet
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37.5/325
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FDA preg risk categ for the Tramadols
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C
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3 things wrong with tylenol 3
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1) Tylenol shouldn't be drug of first choice (only if pt can't tolerate NSAID)
2) Codeine is not as good as any of the other opiods 3) 1 or 2 every 4 to 6 hours as needed is confusing - tell them to wait until they have pain (then it doesn't work; need to block production of prostaglandins before pain) |
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What should you prescribe for mild pain- primary line of treatment
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ibuprofen- 200mg 2 tabs qid - max dose 2,400 mg
naproxen, 200mg, 2 tabs qid max daily ddose 1375 ASA 500mg 2 tab qid max dose 4000mg APAP 500 mg 2 tab qid max dose 4,000 mg |
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What should you prescribe for mod-severe secondary line of treatment
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ibuprofen 800 mg tabs
disp 10 tabs sig. take 1 tab tid(3/dtimes/day btw dosages discomfrot: take 1000mg tylenol btwn dosages |
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What should you prescribe for severe, visceral pain seconday line of trxt
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hydrocodone w/ ibuprofen, 7.5 mg/200mg tabs
disp 24 tabs sig. take 2 tabs qid until all ake |
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What should you prescribe for severe, visceral pain seconday line of trxt
if can't take NSAIDS |
hydrocodone w/ APAP 5mg/500mg
disp 24 tabs sig. take 2 tabs qid until all are taken |
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What should you prescribe for severe, visceral pain seconday line of trxt
if opoid is contraindicated |
Tramaol w/ APAP, 37.5mg /325 mg tabs
disp 24 tabs sig take 2 tabs qid until all are taken |
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What should you prescribe for severe, visceral pain tertiary line of trxtof trxt
severe- for itailians |
oxycodone w/ ibuiprofen, 5mg/400 mg
disp 24 tabs sig take 2 tabs qid until all are taken |
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What should you prescribe for severe, visceral pain tertiary line of trxt
no NSAIDS |
oxycodone w/APA 7.5mg/500mg tabs = percocet
disp 24 tabs sig take 2 tabs qid until all are taken |
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Many pts are older, and take a baby aspirin per day
○ Ibuprofen + aspirin reduces the anti-platelet effect of aspirin |
There is a way to get around this: if pt takes ibuprofen first, blocks effects of aspirin
BUT, if you have pt take aspirin first thing, take NSAID 2 hours after, and last NSAID 8 hours before next aspirin ○ Will still have anti-platelet effects of aspirin Tylenol is a non-issue here - can still be taken in between NSAID doses |
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what is the opioid- receptor agonist drug of choice for dentists
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oxycodone
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don't ever prescribe controlled substance for a patient for over
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two weeks
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