Help
Options
Term
non opioid analgesic
click to flip
Didn't know it?
click below
click below
Knew it?
click below
click below
Don't know
Term
NSAIDs
Remaining cards (42)
Know
retry
shuffle
restart
0:00
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
322 Final
322 New
| Term | Definition |
|---|---|
| non opioid analgesic | mild to moderate pain; 1 - 5; NSAIDs, acetaminophen |
| NSAIDs | aspirin, ibuprofen, naproxen; analgesia, anti inflammatory, anti platelet, antipyretic; something with swelling |
| acetaminophen | analgesia, antipyretic; no anti inflammatory; fever and headache |
| opioid analgesic | moderate to severe pain; 6 - 10; morphine, fentanyl, oxycodone |
| migraine headache | unilateral, throbbing pain, nausea vomiting, photophobia |
| migraine patho | neurovascular events in cerebral cortex |
| cluster headache | severe unilateral non throbbing pain, located around eye |
| selective serotonin 1 receptor antagonists for headaches; sumatriptan | vasoconstriction of cranial arteries; suicidal ideation and cardiac arrest |
| acetaminophen therapeutic range | max 4g day, max if daily 2g |
| acetaminophen toxic effects | hepatotoxicity and renal failure; antidote is acetylcystine |
| aspirin therapeutic level | 15 to 30 mg |
| aspirin antidote | sodium bicarbonate; enhances elimination in the urine, given until urine pH is between 7.5 and 8 |
| morphine risk | respiratory depression; antidote is naloxene |
| aspirin interventions | do not take with alcohol or warfarin, discontinue 7 days before surgery, can cause GI distress |
| aspirin side effects | tinnitus, dizziness, GI bleeding and ulceration, reye's syndrome |
| visual pain scale | choose a number 0 to 10 that best describes pain |
| FLACC | face, legs, activity, cry, consolability |
| OUCH scale | wong baker faces (think emojis) |
| non verbal pain scale | for cognitively impaired, emotion, movement, verbal cues, positioning and guarding |
| transdermal patch opioids | around the clock pain control, reduces ups and downs of pain |
| erythema | redness, blood accumulates in areas of tissue because of release of chemical mediators |
| edema | swelling, plasma leaks into interstitial tissues |
| heat | blood accumulation and result from pyrogens (produce fever) |
| pain | tissue swelling and release of chemical mediators |
| loss of function | accumulation of fluid at the tissue injury site |
| NSAID | decrease inflammation, relieve pain, reduce elevated body temperature, inhibit platelet aggregation |
| first generation NSAID | salicylates - aspirin; inhibits platelet aggregation |
| second generation NSAID | selective COX - 2 inhibitors - celecoxib, leaves the protection of the stomach lining intact so no gastric bleeding occurs |
| use of second generation NSAID | osteoarthritis, rheumatoid arthritis, dysmenorrhea, ankylosing spondylitis |
| black box for second generation NSAID | increase risk for CV events, increase risk for serious GI events in history with peptic ulcer disease |
| DMARDS | alleviate symptoms of RA, psoriatic arthritis, severe psoriasis , crohn disease, ulcerative colitis |
| infliximab | administered IV, DMARD, side effects (flu like), abdominal pain, weight loss, rash, alopecia, dry skin |
| infliximab adverse effects | chest pain, seizures, bone fractures, increased hepatic enzymes, anemia, neutropenia, pancytopenia, SJS |
| DMARD side effects | neutropenia, monitor vital signs for infection, CBC for WBC |
| corticosteroid use | autoimmune disorder or flare up, COPD |
| corticosteroid teaching | taper dose when discontinuing; longer term use has side effects like increased appetite, tachycardia, edema, sodium and water retention |
| colchicine | alleviates gout symptoms but does not decrease inflammation, does not inhibit uric acid synthesis and does not promote uric acid excretion |
| colchicine teaching | take with food to avoid GI distress |
| allopurinol | uric acid inhibitor, prevents gout attacks; first choice |
| allopurinol side effects | dry mouth, arthralgia, pruritus, erectile dysfunction, bradyacrdia, hyperglycemia, blood dycrasias, SJS |
| allopurinol interventions | record urine output, monitor renal and hepatic function, increase fluid intake, yearly eye exams |
| probenecid | blocks reabsorption of uric acid and promotes excretion, can be taken with colchicine |
| probenecid side effects | kidney stones, flushed skin, sore gums, severe blood dyscrasias - sulfinpyrazone |
Created by:
ahommel
Popular Nursing sets