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Pharm Test 3 Pain Dr
Pharm Test 3 Pain Drugs
| Question | Answer: NTK |
|---|---|
| Aspirin | Analgesic, antipyretic, anti-inflammatory |
| Aspirin | not used for children <12 |
| Aspirin | decrease platelt aggregation |
| Aspirin | preventative measure against TIA's, MI's or other thromboembolotic episodes |
| Aspirin | inhibits cyclooxygenase Cox1 & Cox2 |
| Aspirin | gastric irritation is a common S/E |
| Cox 1 | protects stomach linning & regulates blood platelets, promoting blood clotting |
| Cox 2 | triggers pain & inflammation @ injured site |
| Reye Syndrome | reason don't not give Children under 12 ASA |
| Nonnarcotic Analgesics | Aspirin, Acetaminophen, Ibuprohen, Naproxen |
| Nonnaracotic Analgesics | Control Pain: HA, Inflammation, Abrasions, Muscle aches, Arthrits Pain |
| M/M pain of skeletal muscles & joints | non-narcotic analgesics |
| Moderate to severe pain in smooth muscle, organ, bones | narcotic analgesic |
| Ibuprofen | inhibits Cox 1 & Cox 2 |
| Ibuprofen | Gastric bleeding can still occur |
| Acteaminophen | Non-narcotic, but not an NASID |
| Acetaminophen | No anti-inflammatory properties |
| Acetaminophen | Relieves pain, discomfort & Fever |
| Acetaminophen | little or no gastric distress |
| Acetaminophen | does not interfere with platelet aggregation |
| Acetaminophen interactions | overdose toxic to liver cells |
| Acetaminophen contradications | Not given to people w/ renal or liver disease or alcholics |
| Antirheumatic Drugs (DMARD's) | used when NSAID's do not controll immunemadiated aethritic disease |
| DMARD's | more toxic may be prescribed to alter the disease process or alleviate symptoms |
| Gold Salts | most frequently used DMARD |
| Gold Salts (chrysotherapy) uses | arrests progression and prevents deformities of RA |
| Gold Salts not used | Not used in early or late stages of RA |
| Gold Salts Admin | IM: 2 month for Results; Oral 3-6 months for results - erratic absorption, but better long term therapy |
| Gold Salts NTK | check for blood dyscrasias, increase protein bound, half life 26-120 days |
| Gold Salts S/E | Dermatitis, hives, alopecia, stomatitis, hepatis, colotos, pharyngitis, anaphylactic shock |
| Gold Salt contraindicated for: | pt. w/ eczema, colitis, hemorrhagic conditions, systemic lupus |
| Gold Salts teaching | good dental hygine, adhere to lab blood schdedule, report early s/s of toxicity, use sunblock, eat diet high in fiber or use anti-diarrheal drugs |
| Antigout | "disease of Kings" |
| Antigout disease | Inflammatory disease |
| Antigout site | most common site is the joint of the big toe |
| Antigout appears | bumps or "tophi" |
| Antigout | uric acid metabloism disorder |
| Antigout complications | urinary calculi & neuropathy |
| Antigout teach pt | should avoid foods high in purine |