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NSAIDS
Pharmacology
26
Medical
Professional
02/04/2012

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Cards

Term
NSAIDs mech of action
Definition
blocks synthesis of PGs and TX w/o blocking LT synthesis
Term
clinical use of NSAIDS
Definition
fever, tendonitis, sunburn, rheumatoid arthritis
Term
what are NSAIDs ineffective against?
Definition
sharp pain assoc w/mechanical stimulation of pain fibers
Term
DOC for rheum arthritis
Definition
aspirin
Term
side effect of aspirin on kidney
Definition
oliguria, fluid retention, decreased sodium excretion and renal failure.
Term
active agent inhibiting COX
Definition
salicylic acid
Term
this changes potency on salicylics
Definition
substitution on OH group or benzene ring
Term
what is asprin hydrolyzed to in the plasma
Definition
acetic acid and salicylate(longer half life)
Term
effect of Vd on salicylates
Definition
drop in pH doubles amount available
Term
what is salicylates contra'd in
Definition
gout
Term
adverse effects of salicylates
Definition
**tinnitus**

hyperventilation and respiratory alkalosi
Term
moderate intoxication via salicylates cause
Definition
increase in metabolic rate
respiratory acidosis
metabolic acidosis

**most observed in children and infants**
Term
treatment of salicylate treatment
Definition
emesis or gastric lavage
alkalinize the urine
hemodialysis
diazepam
Term
Contras of aspirin
Definition
hemophilia, pregnancy or hypersensitivity

SLE, Reye's syndrome
Term
low dose of ibuprofen/high dose
Definition
analgesic

anti-inflammatory
Term
serious side effects of ibuprofen
Definition
agranulocytosis, aplastic anemia, renal failure
Term
naproxen
Definition
long half life
Term
indomethacin
Definition
most potent inhib of prostaglandin synthesis.

DOC for patent ductus arteriosus

used also in gouty arthritis, spondylitis
Term
Ketorolac
Definition
short term mgmt of acute pain and inflammation.

used in comb w/opiate
Term
Meloxicam
Definition
partial Cox 2 inhib
20hr half life
osteo and rh arthritis
Term
Celecoxib
Definition
Cox 2 inhib

dysmenorrhea, arthritis
Term
side effects of celecoxib
Definition
elevated blood pressure
inhibition of PGI synthesis (risk of heart attack)
Term
how does colcichine treat gout
Definition
inhibiting neutrophil activation
Term
2 ways of normalizing gout
Definition
increasing uric acid elimination

inhibiting synthesis of uric acid
Term
these drugs inhibit urate reabsorption and increase excretion
Definition
Probenecid and sulfinpyrazone
Term
allopurinol mech of action
Definition
inhibits xanthine oxidase
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