Chapter 44 and 10 Pharm

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Which NSAID should be avoided by patients with a Sulpha allergy?

Celecoxib

Which medication is specifically mentioned for arthritis and is available over the counter as a topical cream?

Diclofenac sodium

Which medication is used for gout and works by inhibiting the reabsorption of uric acid in the kidney?

Probenecid

What is a common adverse effect of antigout medications mentioned in the text?

Diarrhea

What should patients taking NSAIDs or antigout medications do if they experience ringing in the ears, persistent GI pain, or easy bruising/bleeding?

Immediately tell their doctor

What is one condition a patient may have that would cause us to use caution giving an opioid?

Elevated intracranial pressure

Which medication can be an alternative for individuals who cannot take aspirin?

Acetaminophen

What is the recommended action regarding NSAIDs prior to any procedures?

Discontinue NSAIDs 1 week prior to procedures

Which of the following is a potential consequence of Colchicine use?

Low white blood cell count

What is a contraindication for the use of Acetaminophen?

Liver dysfunction

What are the main adverse effects of Opioid medications mentioned in the text?

CNS depression, respiratory depression, and severe constipation

Which medication is stated as the antidote to Opioid overdose in the text?

Naloxone Naproxen

What is one of the symptoms a patient may experience during opioid withdrawal according to the text?

Chills/hot flashes and joint pain

Which medication should be avoided in children with flu-like symptoms due to the risk of Reye’s syndrome?

Aspirin

What is the prophylactic usage of Aspirin primarily indicated for?

Cardiovascular protection

Which medication is an antigout medication that prevents uric acid production?

Allopurinol

What is the best course of action for patients experiencing persistent GI upset when taking NSAIDs?

Take the NSAIDs with food, milk, or antacids

What is a potential consequence of consuming aspirin for a patient with a viral illness such as the flu?

Development of neurologic deficits

Which medication can be used prophylactically for acute gout?

Colchicine

Why is it important to avoid giving opioids to patients with severe asthma?

Opioids may exacerbate respiratory depression

What can be a potential fatal skin condition associated with Allopurinol/Zyloprim use?

Exfoliative dermatitis

Which NSAID is highlighted as being better tolerated on the gastrointestinal (GI) system compared to others?

Nabumetone

What effect does Aspirin have concerning the risk of death after a Myocardial Infarction (MI)?

Decreases

In which situation should caution be exercised when administering opioids?

When the patient is morbidly obese

What is the maximum daily dose of Acetaminophen recommended for an older adult or a patient with liver disease?

2 grams per day

Which medication is most suitable for inflammation like a sprained ankle according to the text?

Ibuprofen

What should be the immediate action if a patient experiences respiratory depression due to opioids?

Give an opioid antagonist

What is a key difference between NSAIDs and Acetaminophen based on the information provided?

While both are antipyretic, Acetaminophen is first line.

What is a secondary use of opioids mentioned in the text besides pain relief?

Management of cough

Why is it essential for patients to be educated not to crush or chew medications based on the information provided?

Crushing or chewing medications can alter their effectiveness.

NSAIDs are most used for Analgesic, Anti-inflammatory, Antipyretic, Aspirin-Platelet inhibition

True

Full therapeutic effect of NSAIDs may take _______ or longer.

1 week

The maximum daily dose of Acetaminophen for a healthy adult is _____ grams per day.

3

Opioids are most often used to alleviate _______ pain.

Moderate to severe

Physiologic adaptation of the body to the presence of an opioid.

Physical dependence

Opioid tolerance and physical dependence are expected with long-term opioid treatment.

True

Physical dependance and opioid tolerance are the same as psychologic dependence

False

A pattern of compulsive drug use characterized by a continued craving for an opioid and the need to use the opioid for effects other than pain relief.

Psychologic Dependence

When you mix codeine sulfate with acetaminophen you now have a class ____ medication.

III

We would use caution giving a schedule III opioid medication to a patient with

Respiratory depression

Test your knowledge on Nonsteroidal Anti-Inflammatory Drugs (NSAIDs) with this quiz covering their uses, contraindications, and specific medications like ibuprofen, aspirin, and acetaminophen.

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