Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
15 Questions
2 Views

Choose a study mode

Play Quiz
Study Flashcards
Spaced Repetition
Chat to Lesson

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

Which of the following mechanisms describes how NSAIDs reduce inflammation?

  • Inhibiting COX enzymes, thus reducing prostaglandin and thromboxane synthesis. (correct)
  • Blocking histamine receptors to prevent inflammatory responses.
  • Increasing the production of prostaglandins and thromboxanes.
  • Stimulating COX enzymes to enhance their activity.

A patient with a history of peptic ulcers is prescribed a non-selective NSAID. Which intervention is most important to discuss with the patient?

  • The importance of taking the medication on an empty stomach to enhance absorption.
  • The benefit of combining the medication with an antacid to reduce its effectiveness.
  • The potential increased risk of gastrointestinal bleeding and the need to report any signs. (correct)
  • The necessity of increasing fluid intake to prevent kidney damage.

A patient is taking low-dose aspirin daily to prevent cardiovascular events. Which statement accurately describes the mechanism behind this therapy?

  • Aspirin irreversibly inhibits COX-1, reducing platelet aggregation. (correct)
  • Aspirin blocks prostacyclin synthesis to prevent vasodilation.
  • Aspirin enhances the production of thromboxane to promote blood clotting.
  • Aspirin selectively inhibits COX-2 to reduce inflammation in arteries.

Which of the following NSAIDs is most likely to cause cardiovascular thrombotic events, such as myocardial infarction or stroke?

<p>Celecoxib (D)</p> Signup and view all the answers

A patient with pre-existing renal impairment is prescribed an NSAID. What potential adverse effect should the healthcare provider monitor closely?

<p>Exacerbation of kidney injury, leading to sodium and water retention. (C)</p> Signup and view all the answers

Which of the following drug combinations is most likely to increase the risk of GI bleeding?

<p>NSAIDs and corticosteroids. (A)</p> Signup and view all the answers

Why are NSAIDs generally avoided during the third trimester of pregnancy?

<p>Due to the risk of premature closure of the ductus arteriosus in the fetus. (A)</p> Signup and view all the answers

Which of the following is an example of a selective COX-2 inhibitor?

<p>Celecoxib (B)</p> Signup and view all the answers

A patient taking lithium for bipolar disorder is prescribed an NSAID for arthritis pain. What potential drug interaction should the healthcare provider be aware of?

<p>NSAIDs can increase lithium levels, potentially leading to lithium toxicity. (D)</p> Signup and view all the answers

How do NSAIDs affect the effectiveness of antihypertensive medications like ACE inhibitors and ARBs?

<p>NSAIDs reduce the effectiveness of antihypertensive medications by inhibiting prostaglandin synthesis in the kidneys. (D)</p> Signup and view all the answers

A patient is prescribed ketorolac for post-operative pain management. What is the primary consideration regarding the duration of ketorolac use?

<p>Ketorolac should be used for short-term pain management only due to its high risk of adverse effects. (D)</p> Signup and view all the answers

What is the most important instruction to give a patient who is starting long-term NSAID therapy to minimize the risk of gastrointestinal upset?

<p>Take the medication with food to reduce the risk of GI upset. (C)</p> Signup and view all the answers

Which laboratory tests are most important to monitor in a patient on long-term NSAID therapy to assess for potential renal toxicity?

<p>Serum creatinine and BUN. (D)</p> Signup and view all the answers

Which of the following adverse effects is associated with aspirin use that is not typically seen with other non-selective NSAIDs?

<p>Irreversible inhibition of platelet aggregation. (C)</p> Signup and view all the answers

A patient with a known allergy to aspirin is prescribed an NSAID for pain relief. Which of the following actions is most appropriate?

<p>Avoid all NSAIDs due to the risk of cross-reactivity. (C)</p> Signup and view all the answers

Flashcards

What are NSAIDs?

Medications with analgesic, antipyretic, and anti-inflammatory effects.

How do NSAIDs work?

They inhibit cyclooxygenase (COX) enzymes, reducing prostaglandins and thromboxanes.

COX-1 vs. COX-2

COX-1 maintains normal physiological functions; COX-2 primarily mediates inflammation.

What are NSAIDs used for?

Pain relief, fever reduction, inflammation reduction, and antiplatelet effects (aspirin).

Signup and view all the flashcards

Example of a Salicylate?

Aspirin

Signup and view all the flashcards

Examples of Propionic acid derivatives?

Ibuprofen, naproxen, and ketoprofen.

Signup and view all the flashcards

Examples of Acetic acid derivatives?

Indomethacin, diclofenac, and ketorolac.

Signup and view all the flashcards

Examples of Enolic acid derivatives?

Piroxicam and meloxicam.

Signup and view all the flashcards

Examples of Selective COX-2 inhibitors (coxibs)?

Celecoxib and etoricoxib.

Signup and view all the flashcards

Common NSAID side effects?

Peptic ulcers, GI bleeding, cardiovascular events, kidney injury, bleeding risk.

Signup and view all the flashcards

Contraindications for NSAID?

History of peptic ulcers, cardiovascular disease, renal impairment, and pregnancy (3rd trimester).

Signup and view all the flashcards

NSAID drug interactions?

Anticoagulants, antiplatelet agents, corticosteroids, SSRIs, antihypertensives, lithium, methotrexate, alcohol.

Signup and view all the flashcards

Describe Aspirin function

It irreversibly inhibits COX-1 and COX-2 for pain relief, fever reduction, and antiplatelet effects

Signup and view all the flashcards

What should you monitor?

Monitor kidney function, liver function, blood pressure, and signs/symptoms of GI bleeding.

Signup and view all the flashcards

Important to tell patients?

Take with food, avoid alcohol, use the lowest effective dose, and inform healthcare providers of all medications.

Signup and view all the flashcards

Study Notes

No new information was provided.

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Quiz Team

Description

NSAIDs are a class of medications used for pain relief, fever reduction, and anti-inflammatory purposes. They inhibit cyclooxygenase (COX) enzymes, reducing prostaglandins and thromboxanes. They are effective for various conditions, but their use requires consideration of potential side effects.

More Like This

Pharmacology: NSAIDs and COX Pathways
26 questions
Pharmacology of NSAIDs and COX Inhibitors
48 questions
Pharmacology: NSAIDs and COX Inhibitors Quiz
45 questions
Use Quizgecko on...
Browser
Browser