3)pharm: analgesics

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