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36 Cards in this Set
- Front
- Back
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What are three classes of drugs for pain?
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1. Non-Opioid agents (Tylenol)
2. NSAIDS (Aspirin, Motrin, Toradol, Celebrex) 3. Opioid analgesics (Codeine, Darvocet - N 100, Demerol, Dilaudid, Fentanyl, Morphine, Vicodin) |
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Tylenol is contraindicated with ?
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Liver impairment
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Adult maximum of Tylenol is?
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4g/24 hours
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Antidote for Tylenol overdose is?
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Mucomyst - acetylcysteine
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Like Tylenol, a non-opioid agent, NSAIDs decrease pain and temperature, but what else do they also decrease?
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inflammation
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lndications of NSAIDS are?
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inflammation
pain fever rheumatoid arthritis/osteoarthritis Gout |
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Aspirin is contraindicated in who and why?
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Children who can get Reye's syndrome.
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Maximum dosing of Motrin for adults is?
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3.2g/24 hours
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What organ is primarily affected by Motrin?
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the kidneys
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Toradol (ketorolac) is to be given for a maximum of how many days and why?
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5 days or kidney damage will occur
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Generic of Toradol
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ketorolac
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NSAIDS inhibit COX-1 and COX-2. What are these and how are they affected by these drugs?
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CoX1 maintains lining of GI tract and inhibition of this results in bleeding.
CoX2 is the site of inflammation and inhibition of this decreases inflammation. |
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A COX-2 inhibitor is?
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Celebrex (celecoxib)
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Should you give medication advice to a pregnant woman?
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No. Always refer them to their OBGYN
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Indications for use of opioid analgesics?
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Moderate to severe pain
Cough suppression Adjunct to anesthesia |
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A popular opioid antagonist
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Narcan (naloxone)
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Darvocet generic name
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propoxyphene/acetaminophen
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Dilaudid generic is
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hydromorphone
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Types of Fentanyl
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Actiq - lollypop
Duragesic - topical patch Sublimaze - IV |
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Vicodin generic is
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hydrocodone/acetominophen
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Opioid analgesics are contraindicated in what cases?
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respiratory insufficiency b/c a SE is respiratory depression
Slowed GI tract with SE of constipation Low blood pressures b/c SE includes hypotension |
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Migraine symptoms
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photophobia
phonophobia N/V Aura - changes in vision/senses prior to onset |
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duration of migraines
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few hours to several days
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Pharm treatment of migraines include
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Selective serotonin agonists - Imitrex (suma"triptan")
Ergot alkaloid - ergostat (ergotamine tartrate) alpha agonist - ProAmatine (midodrine) |
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Non Pharm and Pharm treatment of gout
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Rest, elevation
Zyloprim (allopurinol) |
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Cause of rheumatoid arthritis
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autoimmune process
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Non Pharm and Pharm treatment of Rheumatoid arthritis
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rest, splints, joint replacements
NSAIDS (aspirin, motrin, etc) Disease modifying drugs Biologic response modifiers |
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Non Pharm and Pharm treatment of Osteoarthritis
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rest, minimize trauma, joint replacement
Non-opioid drugs (Tylenol) NSAIDS (Motrin, Aspirin) |
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Pharm Treatment of Fevers
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Aspirin
NSAIDS - ibuprofen Tylenol |
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3 types of local anesthetics
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Infiltration - lidocaine
Nerve blocking agents Topical - EMLA (prilocaine/lidocaine) |
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Xylocaine
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lidocaine
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3 types of nerve blocks
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peripheral
epidural intrathecal (intraspinal) |
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examples of nerve blocking drugs
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Morphine, Dilaudid, fentanyl
Anasthetic - bipivacaine Must be preservative free |
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Topical anesthetic
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EMLA
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EMLA
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prilocaine/lidocaine
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Don't use lido/epi where?
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fingers, nose, ears, lips, toes, etc
decreases oxygen to area |
