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Pain & Osteoarthritis Mild Pain Agents
Pain & Osteoarthritis Mild Pain Agents
38
Pharmacology
Professional
09/21/2012

Additional Pharmacology Flashcards

 


 

Cards

Term
How does Acetaminophen work?
Definition

Inhibits the synthesis of prostaglandins in the CNS and peripherally blocks pain impulse generation.

 

Note that IV APAP and Ibuprofen can treat more severe pain - and enable lower opioid doses.

Term
Can APAP and Ibuprofen and Ketorolac be given IV?
Definition
Yes
Term
Brand name for Acetaminophen
Definition
Tylenol, APAP
Term
Brand name for Acetaminophen + hydrocodone?
Definition
Vicodin &/or Lortab
Term
Brand name for Acetaminophen + Oxycodone
Definition
Percocet, Endocet
Term
Brand name for Acetaminophen + codeine
Definition
Tylenol #2, 3, 4
Term
Brand name for Acetaminophen + tramadol
Definition
Ultracet
Term
Dosage of acetaminophen for children?
Definition

Children < 12 y/o

 

10 - 15 mg/kg Q 4 - 6 hr, max 5 dosses/day. Max 5 dosses/day

Term
Acetaminophen is the DOC for pain in?
Definition
pregnancy
Term
The difference between acetaminophen infant drops and children's suspension?
Definition

Infant droops (80mg/0.8 ml) are more concentrated than children's suspension (160 mg/5ml)

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Term
Name of IV acetaminophen
Definition
Ofirmev
Term
What is the dose not to exceed for Acetaminophen?
Definition

Do not exceed 650 mg per dose in anyone, and 4 g/day

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Term
What is the antidote for an acetaminophen overdose/toxicity?
Definition
N-Acetylcysteine (NAC)
Term
[image]
Definition
Statement. Not a question.
Term
Can a patient drink alcohol whilst on acetaminophen?
Definition
No. Liver toxicity!
Term
How does aspirin work?
Definition

Aspirin bind irreversibly, and other NSAIDs reversibly, to cycloxygenase-1 and 2 (COX-1 and 2) enzymes, thus inhibiting prostaglandin (PG) synthesis, which are involved in pain impulse generation, and preventing formation of thromboxane A2, which decreases platelet aggregation

Term
What is aspirin primarily used for?
Definition
cardioprotection
Term
Brand name for aspirin
Definition

Ecotrin, Excedrin

 

Note: the above are actually Aspirin + APAP + caffeine

Term
What is the purpose of EC (enteric-coated) tablets?
Definition
to decrease nausea
Term
All NSAIDs have risk for?
Definition

GI bleeding

 

Celecoxib has the lowest risk

 

Ibuprofen is relatively low - risk and has less risk than the other OTC agent naproxen

Term

Are NSAIDs analgesic and antipyretic, anti-inflammatory (at higher doses)

Definition
Yes
Term
When should NSAIDs be discontinued prior to elective surgery?
Definition

Due to antiplatelet effects, stop all NSAIDs at least a week prior to elective surgery

 

Term
Which NSAID should be avoided in children?
Definition

Avoid Aspirin (not other NSAIDs) in children (< 16 y/o) with any viral infection due to potential risk Reye's syndrome

[image][image][image][image]

Term
[image]
Definition
Statement. Not a question.
Term
Brand name for ibuprofen
Definition
Motrin, Advil
Term
NSAID black box warning?
Definition
cardiovascular risk
Term
What is Vimovo?
Definition

Naproxen - Esomeprazole (the PPI is used to protect the gut from damage caused by the NSAID)

Term
Brand name for Diclofenac
Definition
Catafiam, Voltaren XR
Term
Brand name for Ketorolac
Definition
Toradol
Term

[image]

[image]

Definition
Statement. Not a question.
Term
Which drug has the highest COX-2 selectivity
Definition
Celecoxib
Term
Brand name for Celecoxib?
Definition
Celebrex
Term
Celecoxib is contraindicated with
Definition
sulfa allergy
Term
[image]
Definition
Statement. Not a question.
Term

Is there every a reason to use two different NSAIDs concurrently?

Definition

No.

 

(exception: low dose aspirin for cardioprotection)

Term
Can aspirin cause ototoxicity?
Definition

Yes. Be careful with use of aspirin and other ototoxic agents (vancomycin)

Term
Should NSAIDs be taken with food?
Definition
Yes (duh)!
Term
Should NSAIDs be stopped prior to elective surgery?
Definition

Yes!

 

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