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Pharmacology

Quiz yourself by thinking what should be in each of the black spaces below before clicking on it to display the answer.
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Question
Answer
What are the general adverse effects of COX inhibitors?   Gastric ulceration, bleeding, and renal impairment  
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What dose of aspirin is used prophylactically for CHF?   81 mg  
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What are some other uses of aspirin other than DVT prevention?   Prevention of Alzheimer's disease and cancer (colorectal)  
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What are first generation NSAIDs used for?   To treat inflammatory disorders (e.g., rheumatoid arthritis)  
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What is a major adverse effect of first generation NSAIDs?   GI ulceration  
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What are S/S of aspirin toxicity?   Tinnitus, sweating, headache, and dizziness; progresses to respiratory depression, hyperthermia, dehydration, and acidosis  
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Why is aspirin contraindicated in pregnancy?   Maternal anemia and post-partum hemorrhage  
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Which COX inhibitor is Reye's syndrome associated with?   Aspirin  
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True or False: There is a reversal to aspirin-related bleeding.   False  
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What are S/S of Reye's syndrome?   Encephalopathy and fatty liver degeneration  
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What illness are Reye's syndrome associated with?   Influenza and chicken pox  
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What is an effective method for preventing Reye's syndrome?   Don't give aspirin to children younger than 12 years  
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What is an example of a second generation NSAID?   Celebrex  
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Does acetaminophen have any anti-inflammatory actions?   No  
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Is acetaminophen considered an NSAID?   No  
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Is acetaminophen associated with Reye's syndrome?   No  
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What is the treatment for an acetaminophen overdose?   Acetylcysteine (Mucomyst), which is usually nebulized  
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How does the AHA recommended using COX inhibitors?   In a stepped-care approach  
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Which COX inhibition is associated with an increased risk of MI and stroke?   COX-2  
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