Term
what are some of the nonopiod NSAIDs? |
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Definition
salicylates, COX-2 inhibitors, para-aminophenol and propionic acid group |
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Term
what is an example of a salicylate? |
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Definition
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Term
what is an example of COX-2 inhibitors? |
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Definition
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Term
what is an example of an para-aminophenol? |
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Definition
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Term
what are some drugs in the propionic acid group? |
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Definition
Ibuprofen (Motrin) Naproxen (Naprosyn) Ketorolac (Toradol) |
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Term
what is the action of actaminophen? |
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Definition
inhibits prostaglandin synthesis |
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Term
what are the uses for acetaminophen? |
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Definition
relieves pain, discomfort and fever |
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Term
what is the maximum does of acetaminophen? |
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Definition
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Term
what are the side effects of acetaminophen? |
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Definition
ras,, low incidence of GI distress |
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Term
what are the toxic effects/ overdose of acetaminophen? |
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Definition
hepatotoxicity, thrombocytopenia |
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Term
what are examples of opiods? |
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Definition
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Term
what are the sythetic opioids? |
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Definition
meperidine (demerol) and hydromorphone (dilaudid) |
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Term
what synthetic opiod is perferred in pregnant woman? |
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Definition
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Term
what are the uses of synthetic opioids? |
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Definition
Pain relief Antitussive (except meperidine) |
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Term
what are some side effects/adverse reactions? |
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Definition
Hypotension, sedation, confusion, blurred vision, constipation, urinary retention Respiratory depression Tolerance and dependence, withdrawal symptoms |
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Term
what are some contraindications of opiate analgesics? |
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Definition
Head injuries, increased intracranial pressure Respiratory disorders Shock or hypotension |
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Term
what is an example of a mixed opiate agonist-antagonist? |
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Definition
Nalbuphine HCl (Nubain)—most commonly used |
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Term
what is the action with nalbuphine HCl (nubain)? |
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Definition
Binds with opiate receptor and increases pain threshold |
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Term
whate are the advantages with nubain? |
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Definition
decreases risk of narcotic abuse and safe during labor |
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Term
what are some side effects/adverse reactions of opioid agonist-antagonists? |
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Definition
Confusion, restlessness, abdominal cramps, urinary urgency, depression Respiratory depression |
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Term
what are contraindications of opioid agonist-antagonists? |
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Definition
Renal or hepatic dysfunction Head injuries, increased intracranial pressure Impaired respirations History of drug abuse or emotional instability |
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Term
what are opioid antagonists used for? |
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Definition
Antidote for opiate overdoses Reverse effects of opiates, including respiratory depression, sedation, hypotension Respiratory distress, respiratory depression |
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Term
what is the most commonly used opioid antagonists? |
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Definition
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Term
what are some of the side effects of narcan? |
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Definition
Tremors, sweating, hypertension, tachycardia, excitement Nausea, vomiting, reversal of analgesia, dysrhythmias Elevated PTT |
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Term
what are nursing interventions with opioids? |
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Definition
Monitor vital signs and bleeding continuously Opioid-Addicted People Methadone treatment program Weaning program Maintenance program Levomethadyl acetate (Orlaam) |
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Term
is opioid withdrawl life threatening? |
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Definition
no but it feels like it is |
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Term
why don't you use opioids with client's who have head injuries? |
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Definition
because it is a respiratory dispressant increaseing your CO2 and vasodilation increasing cranial pressure. you want to ventilate patient and be careful with IV fluids. |
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Term
why do espanol cops carry narcan? |
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Definition
because of heroin problems. |
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