NSAIDS
What is a longterm effect that NSAIDS (Aspirin) has on the gastrointestinal tract?
What is "GI bleed or perforation" (Burchum & Rosenthal, 2019, p. 856)
Burchum, J.R. & Rosenthal, L. D. (2019). Cyclooxygenase Inhibitors: Nonsteroidal Anti-Inflammatory Drugs and Acetaminophen. In Lehnes pharmacology for nursing care (10th, p. 856). St. Louis, MO: Elsevier/Saunders
Develops due to changes in the opioid receptors
What is Tolerance
Alcohol, beer, wine, cheeses, beans, anchovies, sardines, liver, kidneys, and cream
What are food high in purine?
Food high in p[urine increase the uric acid level in blood (hyperuricemia)
inhibition of the perception of pain.
What is analgesia?
Commonly used for conscious sedation
What is midazlam (versed)
What are the three purposes of NSAIDS?
What is reduce fever, reduce inflammation, reduce pain
Burchum, J. R. & Rosenthal, L. D.(2019). Cyclooxygenase Inhibitors: Nonsteroidal Anti-Inflammatory Drugs and Acetaminophen. In Lehnes pharmacology for nursing care (10th, p. 852). St. Louis, MO: Elsevier/Saunders
The generic is hydromorphone
What is Diluadid
A nurse teaching a client receiving allopurinol (Zyloprim) should include which information?
A. take the medication with an antacid to minimize GI distress
B. This medication may cause your urine to turn orange
C. Include salmon and organ meats in your diet on a weekly basis
D. Increase your fluid intake to 3 L per day
What is D. Increase your fluid intake to 3 L per day
Clients taking allopurinol should be informed to increase fluid intake to 3 L per day, avoid hazardous activities if dizziness or drowsiness occurs with the medication, and avoid the use of alcohol and caffeine because these drugs will increase uric acid levels and decrease the levels of allopurinol.
Not specifically anti-inflammatory; used as short-term adjunct to other therapy.
What is acetaminophen (Tylenol, Tylenol ER)
rendering the patient unconscious by using inhalation anesthetics, IV anesthetics, or both
What is Induction?
What is the name of the enzyme that NSAIDS inhibit?
What is Cyclooxygenase
Burchum, J. R. & Rosenthal, L. D. (2019). Cyclooxygenase Inhibitors: Nonsteroidal Anti-Inflammatory Drugs and Acetaminophen. In Lehnes pharmacology for nursing care (10th, p. 852). St. Louis, MO: Elsevier/Saunders
Opioid ________ are drugs that attach to the opioid receptors and displace the opioid analgesic or opioid neuropeptide.
What are Opioid antagonists
During a teaching session about antigout drugs, the nurse tells the patient that antigout drugs work by which mechanism?
A. increasing blood oxygen levels
B. decreasing leukocytes and platelets
C. increasing protein and rheumatoid factors
D. decreasing serum uric acid levels
What is D. decreasing serum uric acid levels
The adult daily dose of acetaminophen should not exceed.
What is 3000-4000mg?
Most widely used intravenous anesthetic
What is Propofol (Diprovan)?
Propofol is is the drug of choice because it is a complete anesthetic with a quick onset of action and recovery period uncomplicated by nausea and vomiting.
Children and teenagers should never be given salicylates for chicken pox or flue because of the possibility for
What is Reye's syndrome.
May develop during the recover phase of the a viral illness, Symptoms include nausea, vomiting, headache, excitability, delirium, and combativeness. May progress to coma and death.
Opioid analgesics potentiate the depression of any __________ drug
What are CNS depressant drugs?
(sedative-hypnotics, alcohol, and general anesthetics). Enhanced sedation, mental confusion, or respiratory depression may occur when patients are taking narcotics at the same time as sedatives (barbiturates, benzodiazepines, alcohol, or general anesthetics.
Frequently produces nausea, vomiting, and diarrhea
What is Colchicine?
Contains 325 mg of acetaminophen and either 2.5, 5, 7.5, or 10 mg of oxycodone.
What is percocet?
The nurse is preparing a patient for surgery. The patient received a hypnotic medication the night prior and the nurse is administering midazolam. The patient asks why all of these medications are necessary. The nurse will inform the patient that they are given for which reason?
A. To decrease the amount of general anesthesia needed
B. To prevent the need for post-surgical pain medications
C. To prolong the anesthetized state
D. To speed up anesthesia induction
What is A. To decrease the amount of general anesthesia needed.
Medications administered before, during, and after general anesthesia are considered adjunct medications. Such drugs may be used to avoid a heightened state of anxiety or fear prior to surgery, to minimize the concentration of anesthetic required, or to counteract side effects (nausea, pain) during the recovery process.
A 49-year old patient has been admitted with possible chronic salicylate intoxication after self-treatment for arthritis pain. The nurse will assess for which symptoms of salicylate intoxication? (Select all that apply)
A. tinnitus
B. headache
C. constipation
D. nausea
E. bradycardia
What is A. tinnitus, B. headache, D. nausea
_______________is used as an antitussive
What is dextromethorphan?
Inhibits the enzyme xanthine oxidase, which is necessary for uric acid formation.
What is the MOA of Allopurinol (Zyloprim)
N-acetylcysteine
What is the antidote for toxic acetaminophen overdose?
state of unconsciousness specifically produced by the combined administration of nitrous oxide, fentanyl and droperidol.
What is Neuroleptanesthesia?
Hitner. Introduction to Pharnacology (2022) 8th (ed.)