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Pain
| Question | Answer |
|---|---|
| ASA MOA | NONSELECTIVE irreversible inhibitor of cox1 |
| ASA AE | GI, REYE'S SYNDROME, FLUID RETENTION, bleeding, renal impairment, hypersensitivity reaction |
| ASA INTER | EtOH, GLUCOCORTICOIDS, ACE/ARBS. LITHIUM. Drugs that promote bleeding |
| ASA Other | Avoid with asthma |
| NSAIDS MOA | REVERSIBLE inhibition of COX1 and COX 2 |
| NSAIDS AE | GI, HYPERSENSITIVITY REACTION, REYE'S SYNDROME, FLUID RETENTION, PROLONGS BLEEDING TIMES |
| NSAIDS INTER | DRUGS THAT PROLONG BLEEDING TIME, EtOH, glucocorticoids, ACE/ARBS, lithium |
| Celecoxib MOA | Selective inhibition of COX 2 |
| Celecoxib AE | MI, STROKE, Sulfonamide allergy, FLUID RETENTION |
| Celecoxib INTER | WARFARIN, EtOH, glucocorticoids, ACE/ARBs, LITHIUM |
| Celecoxib OTHER | Does not inhibit platelet aggregation or Bleeding |
| Celecoxib Preg | X |
| Acetaminophen MOA | inhibits prostaglandin synthesis at the CNS |
| Acetaminophen AE | HEPATOTOXICITY, HEPATIC NECROSIS |
| Acetaminophen INTER | WARFARIN, EtOH |
| Hepatic Necrosis antidote | Actylcysteine |
| Morphine MOA | mimics actions of endogenous opioid peptides |
| Morphine AE | RESPIRATORY DEPRESSION, ELEVATIONS OF INTRACRANIAL PRESSURE, NEUROTOXICITY, constipation, withdrawal |
| Morphine INTER | CNS DEPRESSANTS, ANTICHOLINERGIC DRUGS, ANTIHISTAMINE, MAOIS, LINEZOLID |
| Treat Opioid antagonist overdose | Naloxone |
| Drug for respiratory depression | Narcain |
| Naltrexone | Morphine. black box warning NEPHROTOXICITY |
| Fentanyl | Morphine. Short half life |
| Tapentoadol MOA | Central opiod agonist. inhibit NE reuptakde |
| Tapentoadol AE | RESPIRATORY DEPRESSION, ELEVATION OF INTRACRANIAL PRESSURE. NEUROTOXICITY. SEROTONIN SYNDROME. STEVEN JOHNSON SYNDROME |
| Tapentoadol | CNS depressants, MAOI, LInezolid, TCA, SSRI/SNRI |