NSAIDs meds
aspirin, ibuprofen, naproxen, indomethacin, diclofenac, ketorlac
NSAID uses
inflammation, mild pain, fever, dysmenorrhea, platlet aggregate inhibition
Naproxen used for
arthritis, tendonitis, mentrual cramps
diclofenac used for
arthritis in feet, hands, elbows, knees
diclofenac route
PO, gel
ketorolac route
IV, PO (short term)
ketorolac used for
post op for gynecological surgeries/procedures
NSAID causes damage to
gastric mucosa
NSAIDs interact with
anticoagulants
NSAIDs: stop taking a _______ prior to _________
week, surgery
celecoxib is a
2nd generation NSAID
celecoxib used for
osteo/rheymatoid arthritis, ankylosing spondilitis
celecoxib have less ______ effects on GI
negative
celecoxib can inc risk of
clots
celecoxib: use cautiously in
heart disease (inc risk of MI and stroke)
acetaminophen: does NOT have an ____________ effect
anti-inflammatory
acetaminophen: do not exceed ______
4 g/day
acetaminophen antidote
acetylcysteine
acetaminophen can be used in combo with
opioids (hydrocodone)
acetaminophen can lead to
hepatotoxicity
Opioids _____ pain receptors
blocks
Opioids produces
analgesia, respiratory depression, euphoria, sedation, dec GI motility
Opioids route
PO, IV, SQ, IM, epidural, transdermal
morphine used for __________ pain
breakthrough
opioid complications
resp depression, constipation, orthostatic hypotension, urinary retention, nausea/vomiting, overdose
Opioid antidote
naloxone
fentanyl: patch replaced every _____ days
3
meridipine can cause
neurotoxicity, cardiotoxicity
meridipine: cant use more than
8 h
dexamethasone used in
spinal surgeries
PCA pump meds
morphine, fentanyl, hydromorphone
adjunct meds for pain
amityriptyline, dexamethasone, gabapentin, ketorolac
amityriptyline used for
fibromyalgia, neuropathy
migraine meds
sumatriptan, ergotamine
Migraine prevention meds
propranolol, divalproex, amitriptyline, estrogens
migraine meds that vasoconstricts
caffeine, excedrin
sumatriptan promotes _______ and dec ________
vasoconstriction, inflammation
ergotamine promotes
vasoconstriction
migraine meds: caution with
cardiac patients
local anesthetics ______ conduction of pain at site
blocks
local anesthetics meds
lidocaine, tetracaine, procaine
local anesthetics: can mix with ___________ to prolong effects
epinephrine
lidocaine patch: should only use _____ in the day
12 h