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Ch 25
Analgesics
| Term | Definition |
|---|---|
| Nonopioid Anaglesics | *Less potent than opioid analgesics *Use-mild to moderate pain * Effective for dull, throbbing pain of: *headaches, dysmenoorhea, minor abrasions *inflammation, muscular aches, pain *mild to moderate arthritis *Action site: PNS @ pain receptor sites |
| NSAIDs action and list drugs included | Action: Analgesic, Antipyretic, anti-inflammatory effects. Includes: Aspirin, Ibuprofen, Naproxen |
| Aspirin/Nonopioid Analgesic Action and Use | Action: inhibits biosynthesis of prostaglandins, inhibits COX-2 decreases inflammation and pain, inhibits COX-1 decreases protection of stomach lining Use: Drug of choice for pain arthritic inflammation, decreases platelet aggregation |
| Asprinin/NSAIDs/Nonopioid Analgesic Side Effects | Tinnitus, vertigo, GI distress, excess bleeding: Met acidosis, hyperventation, anaphylasix, bronchospasm, dyspnea, urticaria, Reyes syndrome |
| Acetaminophen-Nonopioid Analgesic/NOT NSAIDs Actions, Uses and dosage | Action-inhibits prostaglandin synthesis Uses-muscular aches and pain, fever Max dose- 4g/day, if taken frequently 2 g/day |
| Acetaminophen/Nonopioid Side Effects and Toxic Effects | Side Effects: Rash, headache, insomnia, low incidence of GI distress Toxic effects/excess dosing: hepatotoxicity, renal failure, thromocytopenia, hemolytic anemia, agranulocytosis, leukopenia, neutropenia |
| Acetaminophen/Nursing Process | Assessment: pain severity, med history of live dysfunction Nursing diagnoses: *pain, acute related to edema from surgical incision*risk for injury Planning: pain will be relieved or diminished |
| Acetaminophen/Nursing Interventions | ck liver enzymes, and serum acetaminophen level levels if toxicity expected. teach keep OOCR., avoid alcholol, report side effects |
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