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33 Cards in this Set

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  • Back
Name 3 groups of nonopioid analgesics?
nonsteroidal anti-
inflammatory (NSAIDS)
salicylates
miscellaneous
Name 9 NSAIDS?
diclofenac
etodolac
ibuprofen
ketoprofen
ketorolac
meloxicam
phenazopyridine
rofecoxib
valdecoxib
Name 6 salicylates?
aspirin
choline and magnesium
salicylates
choline salicylate
magnesium salicylate
salsalate
sodium salicylate
Name 5 miscellaneous nonopioid analgesics?
acetaminophen
butabital compounds
capsaicin
hydrocodone
naproxen
Nonopioid analgesics are used to control? (3)
mild pain
moderate pain
fever
Phenazopyridine is used only to treat ______ tract pain.
urinary
Capsaicin is used _____ for a variety of painful syndromes.
topically
Most nonopioid analgesics inhibit ______ synthesis peripherally for analgesic effect and centrally for antipyretic effect. Tramadol is a ______ acting agent.
prostaglandin
centrally
Peripheral acting is an ______ effect.
Central acting is an ______ effect.
analgesic
antipyretic
Contraindications?
Hypersensitivity and ____-____ among NSAIDs may occur.
cross-sensitivity
Precautions?
Use cautiously in patients with severe 1____ or 2____ disease, chronic alcohol use/abuse, or malnutrition.
Tramadol has 3_____ depressants.
1 hepatic
2 renal
3 CNS
Interactions?
Long-term use of _____ with NSAIDs may increase the risk of adverse renal effect.
acetaminophen
Interactions?
Prolonged high-dose of _____ may increase the risk of bleeding with warfarin.
acetaminophen
Interactions?
Hepatoxicity may be ______ with other hepatotoxic agents, including alcohol.
additive
NSAIDs increase the risk of bleeding with (5)?
warfarin
thrombolytics
antiplatelets (aspirin)
some cephalosporins
valproates
(effect is greatest with
aspirin)
NSAIDs may also (increase, decrease) the effectiveness of diuretics and antihypertensives?
decrease
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.
increased
ASSESSMENT:
Patients who have asthma, allergies, and nasal polyps or who are allergic to _____ are at an increased risk for developing hypersensitivity reactions.
tartrazine
ASSESSMENT:
Assess pain and limitation of movement. What should be noted prior to and at the peak following administration? (3)
type
location
intensity
ASSESSMENT:
Assess fever and note associated signs which include?
diaphoresis
tachycardia
malaise
chills
ASSESSMENT:
What are lab test considerations?
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
LAB TEST CONSIDERATIONS:
Aspirin and most NSAIDs prolong bleeding time due to suppressed platelet aggregation and, in large doses, may cause prolonged ______ ______.
prothrombin time
LAB TEST CONSIDERATIONS:
Monitor hematocrit periodically in prolonged high-dose therapy to assess for _____ blood loss.
GI
List 3 potential nursing diagnoses?
Pain, acute
Body temperature, risk for
imbalanced
Knowledge, deficient, related
to disease processes and
medication regimen
IMPLEMENTATION:
PO: Administer salicylates and NSAIDs after meals or with food or an antacid to minimize _____ irritation.
gastric
LAB TEST CONSIDERATIONS:
Monitor hematocrit periodically in prolonged high-dose therapy to assess for _____ blood loss.
GI
List 3 potential nursing diagnoses?
Pain, acute
Body temperature, risk for
imbalanced
Knowledge, deficient, related
to disease processes and
medication regimen
IMPLEMENTATION:
PO: Administer salicylates and NSAIDs after meals or with food or an antacid to minimize _____ irritation.
gastric
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.
15 to 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.
10
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.
gastric
few
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.
aspirin
salicylates
NSAIDs
EVALUATION:
Effectiveness of therapy can be demonstrated by?
relief of mild to moderate discomfort...
reduction of fever