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PAIN MEDS

PHARM

QuestionAnswer
Salicylates IE Asprin Ecotrin Bufferin
Salicylates action analgesic antipyretic anti inflammatory
Salicylates uses relief on pain reduce temp treats anti inflamatory reduces risk of TIA and stroke
Salicylates precautions never give to children under 18 with viral infections like flue or chx pox bleeding disorders, vitK abnormalities pregnancy gastric or peptic ulcers do not use within 1 hour f antacids- BLEEDING TEATH GUMS CONTACT DR
Salicylates side affects GI UPSET ANOREXIA hyperventalation tinitus
Salicylates ADVERSE REACTIONS GI bleeding
Salicylates signes and symptoms tinitius (stop taking ), cnfusion, tachycardia , resp depression AND HYPERVENTALATION (respitory alkadosis )
Salicylates txt activated charcoal gastric lavage
Salicylates antodote NONE
Salicylates PT TEACHING Avoid: tea, licorice and papirika ,wintergreen and bengay take with food and milk to reduce GI USET
Salicylates affects affects cns and ans
Salicylates inhibits prostoglandin inhibit prostogladin synthesis
Salicylates dervied from chemical salyectic acid
reye syndrome rAPID BUILD UP OF AMONIA IN BS, LEADING TO ENCEPHALOPATHY AND LIVERR DAMAGE
Encephalopathy confused,irratable, confusion - affects brain
reye syndrome S/S freq vom, irratible and suddne personality changes
asprin concerns brain stem affects breathing to faast increase CO2
LATE STAGE METOBLIC ACIDOSES Asprin itslef is acid and interferes with metabolism S/S encophltrophy
long term use- report black/ tarry " stool-NO ALCOHOL
non- salicylates tylenol
non- salicylates ACTION ANALGESIC ANTIPYRETIC
non- salicylates USES Mild moderate pain reduction of elevated temp. pt with bleeding disorders asprin allergies those on anticoagulation therapy and peptic/gastric ulcers
non- salicylates precautions and contridictions hemolytic anemia- RBC DETROYED FASTER THAN MADE DO NOT ACCEED 4G FOR NORMAL 2G FOR LIVER/KIDNEY IMPAIRED
non- salicylates S/A LIVER/KIDNEY AND JAUNDUCE HEPTOXIXCTY MOST SERIOUS
non- salicylates INTERACTIONS AVOID ALCOHOL AVOID OTC COLD/COUGH RX
non- salicylates SIGNS AND SYMPTOMS CONFUSION NV JAUNDICE BRADYCARDIA
non- salicylates TXT GASTRIC LAVAGE ACTIVATED CHARCOAL (2HR INDEGESTION) MUCOMYST (acetyletsteine) ant of choice
non- salicylates antidote MUCOMYST (acetyletsteine)
MUCOMYST (acetyletsteine) this snot and restore levals / smells like rotten eggs gluathione give juice/soda to mask taste then oral care- moniotor pt alcohol and tylenol
gluathione produced in liver once dstroyed give back fuel and function
NSAIDS IE IBPROHPEN,MOTRIN,ALEVE,MELOXICAM,NAPROXIN,CELEBREX,TORADOL,ADVIL
NSAIDS ACTION ANTI INFLAMMIROTY ANALGESIC ANTIPYRETIC CEBREL BLOCS COX2 (which triggesr pain/infmimation) wile sparing COX1
cox2 vs cox1 bad/good
celebrx do not take if have a sulfer allergy aides in platlet aggulation and kidney blood flow
toradol do not use fro more than 5 days risk of GI BLEED and nephrotoxixty extreme
NSAIDS uses pain relief related to muscular skeletal disorders mild / mod pain fever reduction mental cramps
NSAIDS Precautions and contradictions alergy to sulf or hsrty of cardiac issues HTN Peptic/gastirc ulcrs GI bleeding hsty/renal disease
NSAIDS S/A nuasea dizzyness stomitis
NSAIDS time it take to be effective long term use 2-4 weks
NSAIDS adverse effects GI BLEEDING DIPLPIA JAUNDCE RISK OF MI/STROKE
NSAIDS INTERACTIONS COMOUDIN CAUTION IN RENAL OR LIVER IMPAIRMENT
NSAIDS S/S NV MOD/SEVERE ABDOMINAL PAIN EASY BRUISING
NSAIDS ANTIDTOE NONE
NSAIDS PT TEAHCING ALWAYS TAKE WITH FOOD OR MILK MAY TAKE SEVERAL WEEKS TO TAKE EFFECT
Created by: mmishue
 

 



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