Otc: Internal Analgesics

Front 1

T/F Tylenol is an NSAID

Back 1

False

Front 2

Afferent visceral and peripheral nociceptors converging on the same spinal pain projection neurons at the anterolateral tract axon produces what type of pain?

Back 2

Referred pain

Front 3

What OTC meds are useful in treating the inflammation and pain of sinusitis?

Back 3

NSAIDs

Front 4

Salicylates inhibit ___________ synthesis

Back 4

Prostaglandin

Front 5

What is the adult oral aspirin dosage for mild to moderate pain?

Back 5

325-650mg q4h
or
325-500mg q3h
or
650-1000mg q6h

Front 6

do not exceed __g of oral aspirin in 24 hours

Back 6

4

Front 7

T/F the cross-reaction rate for ibuprofen is reportedly as high as 97%

Back 7

True

Front 8

This substance found in yellow dye, will provoke aspirin allergys and asthma attacks in asthmatics

Back 8

Tartrazine

Front 9

Can NSAIDs be given to a pregnant women?

Back 9

NO WAY!

Front 10

What problem might occur is Salicylates are given with Sulfonylureas?

Back 10

Loss of Glucose control

Front 11

What is an example of an enteric coated salicylate?

What are the positive and negetive aspects of enteric coated salicylates?

Back 11

ECOTRIN

(+) protects against gastric damage

(-) time to achieve peak levels and therapeutic effect is delayed

Front 12

Effervescent aspirin solutions contain large amounts of ____ and must be avoided by patients requiring restricted ____ intake

Back 12

SODIUM

Front 13

T/F ALL NSAIDs can cause some bleeding problems

Back 13

TRUE

Front 14

Patients with compromised renal function must avoid using ______ salicylate

Back 14

MAGESIUM

Front 15

T/F compared to acetylated salicylates, Nonacetylated salicylated cause more bleeding

Back 15

FALSE!

acetylated causes more bleeding

Front 16

NMT __g in patients on coumadin

Back 16

2g

Front 17

T/F Unlike salicylates, aceteminophen produces analgesia through a CENTRAL rather than a PERIPHERAL effect on the nervous system

Back 17

TRUE

Front 18

What are 2 Drug interactions with Tylenol?

Back 18

Alcohol and Coumadin

Front 19

What is the antidote for Tylenol Overdose?

Back 19

N-acetylcysteine

(Mucomyst)

Front 20

is Ibuprofen a Salicylate?

Back 20

NO

Front 21

What are the doses for Ibuprofen?

Back 21

200-400mg every 4-6hrs

Not to exceed 1,200mg in 24 hrs

do not take for pain >10 days or fever >3days

Front 22

What is the DOC in pregnancy for pain relief?

Back 22

Tylenol

Front 23

What is the antiinflammatory dose for ibuprofen?

Back 23

300-600mg q4-6h

Front 24

T/F Aspirins effect on platelet aggregation is reversible while ibuprofens effect on platelet aggregation is irreverible

Back 24

FALSE

Aspirin- IRREVERSIBLE

Front 25

What is in Alieve?

Back 25

Naproxen Sodium 220mg

Front 26

What is the recommended dosage for Naproxen Sodium?

Persons 12-65:
Persons >65:

Back 26

12-65: the dose is 1 tab q8-12h

>65: NMT 2 tabs/day or one every 12 hrs

Front 27

Alka Seltzer (Blue Box)

Back 27

ASA 325mg
Sodium Bicarbonate 1916mg/tab

Front 28

Anacin

Back 28

ASA 400mg
Caffiene 32mg

Front 29

Aspergum Chewing gum

Back 29

ASA 227mg

Front 30

BC Powders

Back 30

Aspirin
Salicylamide
Caffiene

Front 31

Ecotrin

Regular
Maximum
Low

Back 31

Regular- 325mg

Maximum 500mg (for arthritis)

Low 81mg

Front 32

Excedrin

Back 32

ASA 250mg
APAP 250mg
Caffiene 65mg

Front 33

Goody's Powders

Back 33

ASA
APAP
Caffiene

Front 34

Name two Mg Products

Back 34

Momuntum and Boans

Front 35

Motrin

Back 35

Ibuprofen 200mg

Front 36

This drug contains APAP AND Antihistamine (Phenyltoloxamine)

Back 36

Percogesic

Front 37

Tylenol Suspension

Back 37

160mg/5ml

Front 38

Tylenol Drops

Back 38

100mg/5ml

Front 39

Tylenol Arthritis Extended Relief Caplets

Back 39

650mg

Front 40

This drug has aspirin with antacids

Back 40

Ascriptin

Front 41

what is a migraine and how is it treated?

Back 41

Recurrin, Hemicranial Throbbing

Rx drugs required for treatment but start with Tylenol

Front 42

What is a Cluster and how is it treated?

Back 42

Intense, non-throbbing unilateral pain around the eye associated with tearing, nasal congestion, rhinnorrhea & facial flushing

Do NOT respond well to nonRx analgesics and should be referred for medical evaluation

Front 43

What is a Sinus Headache and how is it treated?

Back 43

Infection or blockage of the paranasal sinuses causing inflammation sinus walls

NSAIDs used for inflammation and decongestants help

Front 44

What is a tension Headache?

Back 44

Bilateral, diffuse pain, often over the top of the head and extending to the rear base of the skull

Front 45

What is Neuralgia?

Back 45

Facial pain arising from inflammation of the trigeminal nerve

Needs Rx Meds like TCAs, Lyrica...etc

Front 46

What is myalgia?

Back 46

muscle pain that can result from vasious systemic infections and from strenuous excersion of the unconditioned body

Front 47

What are some triggers of headache?

Back 47

Fatigue, Fever, Hangover

Spasm, inflammation, or trauma of cranial or cervical muscles

Distention or dilation of intracranial arteries

Diseases of teeth, throat and ear

Meningeal inflammation

Compression or disease of cranial or spinal nerves

Front 48

Would you recommend Motrin IB for a pregnant women in the last 3 months of pregnancy?

Back 48

NO!!!

Front 49

Describe some non-pharmacological approaches to pain control

Back 49

Cold

Heat

Exercise

Diversion

Pleasant activities

Front 50

what would happen if a person who is alleric to aspirin took a Rx for Indocin?

Back 50

Those patients allergic to aspirin may also react to nonsteroidal anti-inflammatory drugs, tartrazine, sodium benzoate, and acetaminophen. Symptoms usually appear within 20 minutes and include generalized urticaria, angioedema, rhinitis, and bronchial asthma.

Front 51

Explain the yellow dye #5 link to aspirin allergy

Back 51

TARTRAZINE dyes will provoke allergy because resembles salycilate

Front 52

How do NSAIDs increase the risk of edema?

Back 52

ADH is inhibited by prostaglandin

If prostaglendin is inhibited, ADH is increased causing edema

Front 53

Name common DI of Salicylates

Back 53

Valproic Acid

Sulfonylureas- may lead to loss of glucose control

Ethanol

Warfarin

Front 54

Name some nonacetylated considerations

Back 54

Magnesium Salicylate

Percodan
Fiorinal
Norgesic...etc

Front 55

Is tylenol a salicylate?

Back 55

NO!

Front 56

AE of Tylenol

Back 56

Skin eruptions

Front 57

What does F.U.O stand for?

Back 57

Fever of Unknown Origin

Front 58

Name some causes of fever?

Back 58

Microbes

Drugs: Anticholinergics, Thyroid, Adrenergic agonists Antipsychotics

Front 59

How much APAP is in each Tylenol Extended Relief Caplet?

Back 59

650mg

Front 60

Which can be used for teenager?

Back 60

Motrin Tylenol Naproxen

Front 61

Which analgesic has antihistamine activity?

Back 61

Percogesic