Drug Class - Nonopioid Analgesics

Front 1

Name 3 groups of nonopioid analgesics?

Back 1

nonsteroidal anti-
inflammatory (NSAIDS)
salicylates
miscellaneous

Front 2

Name 9 NSAIDS?

Back 2

diclofenac
etodolac
ibuprofen
ketoprofen
ketorolac
meloxicam
phenazopyridine
rofecoxib
valdecoxib

Front 3

Name 6 salicylates?

Back 3

aspirin
choline and magnesium
salicylates
choline salicylate
magnesium salicylate
salsalate
sodium salicylate

Front 4

Name 5 miscellaneous nonopioid analgesics?

Back 4

acetaminophen
butabital compounds
capsaicin
hydrocodone
naproxen

Front 5

Nonopioid analgesics are used to control? (3)

Back 5

mild pain
moderate pain
fever

Front 6

Phenazopyridine is used only to treat ______ tract pain.

Back 6

urinary

Front 7

Capsaicin is used _____ for a variety of painful syndromes.

Back 7

topically

Front 8

Most nonopioid analgesics inhibit ______ synthesis peripherally for analgesic effect and centrally for antipyretic effect. Tramadol is a ______ acting agent.

Back 8

prostaglandin
centrally

Front 9

Peripheral acting is an ______ effect.
Central acting is an ______ effect.

Back 9

analgesic
antipyretic

Front 10

Contraindications?
Hypersensitivity and ____-____ among NSAIDs may occur.

Back 10

cross-sensitivity

Front 11

Precautions?
Use cautiously in patients with severe 1____ or 2____ disease, chronic alcohol use/abuse, or malnutrition.
Tramadol has 3_____ depressants.

Back 11

1 hepatic
2 renal
3 CNS

Front 12

Interactions?
Long-term use of _____ with NSAIDs may increase the risk of adverse renal effect.

Back 12

acetaminophen

Front 13

Interactions?
Prolonged high-dose of _____ may increase the risk of bleeding with warfarin.

Back 13

acetaminophen

Front 14

Interactions?
Hepatoxicity may be ______ with other hepatotoxic agents, including alcohol.

Back 14

additive

Front 15

NSAIDs increase the risk of bleeding with (5)?

Back 15

warfarin
thrombolytics
antiplatelets (aspirin)
some cephalosporins
valproates
(effect is greatest with
aspirin)

Front 16

NSAIDs may also (increase, decrease) the effectiveness of diuretics and antihypertensives?

Back 16

decrease

Front 17

The risk of CNS depression with tramadol is (increased, decreased) by concurrent use of other CNS depressants, including alcohol, antihistamines, sedative/hypnotics, and some antidepressants.

Back 17

increased

Front 18

ASSESSMENT:
Patients who have asthma, allergies, and nasal polyps or who are allergic to _____ are at an increased risk for developing hypersensitivity reactions.

Back 18

tartrazine

Front 19

ASSESSMENT:
Assess pain and limitation of movement. What should be noted prior to and at the peak following administration? (3)

Back 19

type
location
intensity

Front 20

ASSESSMENT:
Assess fever and note associated signs which include?

Back 20

diaphoresis
tachycardia
malaise
chills

Front 21

ASSESSMENT:
What are lab test considerations?

Back 21

hepatic function
hematologic function
renal function
(all 3 should be evaluated periodically throughout prolonged high-dose therapy)

aspirin and most NSAIDs prolong bleeding time due to suppressed platelet aggregation and, in large doses, may cause prolonged prothrombin time.

monitor hematocrit periodically in prolonged high-dose therapy to assess for GI blood loss

Front 22

LAB TEST CONSIDERATIONS:
Aspirin and most NSAIDs prolong bleeding time due to suppressed platelet aggregation and, in large doses, may cause prolonged ______ ______.

Back 22

prothrombin time

Front 23

LAB TEST CONSIDERATIONS:
Monitor hematocrit periodically in prolonged high-dose therapy to assess for _____ blood loss.

Back 23

GI

Front 24

List 3 potential nursing diagnoses?

Back 24

Pain, acute
Body temperature, risk for
imbalanced
Knowledge, deficient, related
to disease processes and
medication regimen

Front 25

IMPLEMENTATION:
PO: Administer salicylates and NSAIDs after meals or with food or an antacid to minimize _____ irritation.

Back 25

gastric

Front 26

LAB TEST CONSIDERATIONS:
Monitor hematocrit periodically in prolonged high-dose therapy to assess for _____ blood loss.

Back 26

GI

Front 27

List 3 potential nursing diagnoses?

Back 27

Pain, acute
Body temperature, risk for
imbalanced
Knowledge, deficient, related
to disease processes and
medication regimen

Front 28

IMPLEMENTATION:
PO: Administer salicylates and NSAIDs after meals or with food or an antacid to minimize _____ irritation.

Back 28

gastric

Front 29

Instruct patient to take salicylates and NSAIDs with a full glass of water and to remain in an upright position for ____ to ____ minutes after administration.

Back 29

15 to 30

Front 30

Adults should not take acetaminophen longer than ___ days unless directed by hcp. Short-term doses of acetaminophen with salicylates or NSAIDs should not exceed the recommended daily dose of either drug alone.

Back 30

10

Front 31

Caution the patient to avoid concurrent use of alcohol with this medication to minimize possible ____ irritation; 3 or more glasses of alcohol per day may increase the risk of GI bleeding with salicylates or NSAIDs. Caution patient to avoid taking acetaminophen, salicylates, or NSAIDs concurrently for more than a ___ days, unless directed by hcp to prevent analgesic nephropathy.

Back 31

gastric
few

Front 32

Advise patients on long-term therapy to inform hcp of medication regimen prior to surgery. Which 3 agents need to be held prior to surgery.

Back 32

aspirin
salicylates
NSAIDs

Front 33

EVALUATION:
Effectiveness of therapy can be demonstrated by?

Back 33

relief of mild to moderate discomfort...
reduction of fever