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33 Cards in this Set
- Front
- Back
Name 3 groups of nonopioid analgesics?
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nonsteroidal anti-
inflammatory (NSAIDS) salicylates miscellaneous |
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Name 9 NSAIDS?
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diclofenac
etodolac ibuprofen ketoprofen ketorolac meloxicam phenazopyridine rofecoxib valdecoxib |
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Name 6 salicylates?
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aspirin
choline and magnesium salicylates choline salicylate magnesium salicylate salsalate sodium salicylate |
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Name 5 miscellaneous nonopioid analgesics?
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acetaminophen
butabital compounds capsaicin hydrocodone naproxen |
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Nonopioid analgesics are used to control? (3)
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mild pain
moderate pain fever |
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Phenazopyridine is used only to treat ______ tract pain.
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urinary
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Capsaicin is used _____ for a variety of painful syndromes.
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topically
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Most nonopioid analgesics inhibit ______ synthesis peripherally for analgesic effect and centrally for antipyretic effect. Tramadol is a ______ acting agent.
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prostaglandin
centrally |
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Peripheral acting is an ______ effect.
Central acting is an ______ effect. |
analgesic
antipyretic |
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Contraindications?
Hypersensitivity and ____-____ among NSAIDs may occur. |
cross-sensitivity
|
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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 |
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Interactions?
Long-term use of _____ with NSAIDs may increase the risk of adverse renal effect. |
acetaminophen
|
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Interactions?
Prolonged high-dose of _____ may increase the risk of bleeding with warfarin. |
acetaminophen
|
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Interactions?
Hepatoxicity may be ______ with other hepatotoxic agents, including alcohol. |
additive
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NSAIDs increase the risk of bleeding with (5)?
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warfarin
thrombolytics antiplatelets (aspirin) some cephalosporins valproates (effect is greatest with aspirin) |
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NSAIDs may also (increase, decrease) the effectiveness of diuretics and antihypertensives?
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decrease
|
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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.
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increased
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ASSESSMENT:
Patients who have asthma, allergies, and nasal polyps or who are allergic to _____ are at an increased risk for developing hypersensitivity reactions. |
tartrazine
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ASSESSMENT:
Assess pain and limitation of movement. What should be noted prior to and at the peak following administration? (3) |
type
location intensity |
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ASSESSMENT:
Assess fever and note associated signs which include? |
diaphoresis
tachycardia malaise chills |
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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 |
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LAB TEST CONSIDERATIONS:
Aspirin and most NSAIDs prolong bleeding time due to suppressed platelet aggregation and, in large doses, may cause prolonged ______ ______. |
prothrombin time
|
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LAB TEST CONSIDERATIONS:
Monitor hematocrit periodically in prolonged high-dose therapy to assess for _____ blood loss. |
GI
|
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List 3 potential nursing diagnoses?
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Pain, acute
Body temperature, risk for imbalanced Knowledge, deficient, related to disease processes and medication regimen |
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IMPLEMENTATION:
PO: Administer salicylates and NSAIDs after meals or with food or an antacid to minimize _____ irritation. |
gastric
|
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LAB TEST CONSIDERATIONS:
Monitor hematocrit periodically in prolonged high-dose therapy to assess for _____ blood loss. |
GI
|
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List 3 potential nursing diagnoses?
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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
|
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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.
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15 to 30
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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.
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10
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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.
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gastric
few |
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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.
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aspirin
salicylates NSAIDs |
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EVALUATION:
Effectiveness of therapy can be demonstrated by? |
relief of mild to moderate discomfort...
reduction of fever |