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43 Cards in this Set

  • Front
  • Back

NSAIDS and acetaminophen action

inhibit COX (cyclooxygenase)

action of COX

converts arachidonic acid into prostaglandins (PAIN, INFLAMMATION)

first generation NSAIDS inhibit

COX1 and COX2 (unselectively)

second generation NSAIDS inhibit

COX 2 selectively

3 SE of first generation NSAIDS

ulcers


renal


bleeding

1 SE of 2nd gen NSAIDS

renal

prototype for first gen NSAID

aspirin

four benefits of aspirin

inflammation


pain


fever


MI/stroke (antiplatelet)

three benefits of of COX 2 inhibition

inflammation, pain, fever



1 benefit of COX 1 inhibition

antiplatelet (MI / stroke)

_______ generation NSAIDs aka ___________'s inhibition of COX is irreversible

1s generation... aka aspirin

single dose of aspirin has antiplatelet effect for life of platelet which is ________

8 days

take aspirin ___________ before other NSAIDS

2 hours before

ibuprofren is___________

1st generation non aspirin NSAID

because of renal impairment properties, aspirin not good for those with

at risk for CHF (hypovolemia, hypertension, CHF)

aspirin and NSAIDs should be avoided in children with influeza due to potential ________ syndrome

reyes syndrome

treat allergic reactions with

epinephrine

three differences between aspirin and non aspirin 1st generation NSAIDS

non aspirin 1st generation NSAIDS:


reversible antiplatelet


not for MI


can actually cause MI/stroke

aspirin ____________ for labor and delivery

not good

seond gen NSAIDS also known as

coxibs

coxibs only inhibit COX

COX 2

main differences between coxib and 1st generation NSAIDS

less ulcers


no antiplatelet

coxibs and MI/stroke?

yes, they also cause it like non aspirion 1s gen NSAIDS

name one coxib

celebrex

acetaminophen ihbitis prostaglandins in _______ only

CNS

two benefits of acetaminophen

fever


pain

one risk of acetaminphen

liver damage

acetaminophen ihibits metabolism of this drug

warfarin

watch out for this with acetaminphen

rash

antidote to acetominophen

acetylcysteine

other routes NSAIDs (topical etc)

wnd with -olacs

discard asprin that smells like

vinegar

NSAIDS with least antiplatelet properties

-cylates

tinnitus

ringing in ear

celecoxib (2nd gen NSAID) not good for those with this allergy

sulfa allergy

NSAIDS and aspirin may interact with this primary prevention measure

vaccines

NSAIDS cause renal issues with these two heart meds

ACE and ARBS (prils, sartans)

acetaminophen caution with

alcohol

alcoholics should take no more than _______ mg of acetaminophen per day

2000mg

Dysmenorrhea means

painful menstrual cramps

Hematemesis means

vomiting blood

which NSAID should you avoid after heart bypass surgery?

second gen NSAID, celebrex

aspirin poisonoing can have what effect on temperature?

fever, hyperthermia