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Questions and Answers
Which NSAID should be avoided by patients with a Sulpha allergy?
Which NSAID should be avoided by patients with a Sulpha allergy?
- Celecoxib (correct)
- Diclofenac sodium
- Ibuprofen
- Nabumetone
Which medication is specifically mentioned for arthritis and is available over the counter as a topical cream?
Which medication is specifically mentioned for arthritis and is available over the counter as a topical cream?
- Ibuprofen
- Colchicine
- Diclofenac sodium (correct)
- Acetaminophen
Which medication is used for gout and works by inhibiting the reabsorption of uric acid in the kidney?
Which medication is used for gout and works by inhibiting the reabsorption of uric acid in the kidney?
- Ibuprofen
- Colchicine
- Probenecid (correct)
- Allopurinol
What is a common adverse effect of antigout medications mentioned in the text?
What is a common adverse effect of antigout medications mentioned in the text?
What should patients taking NSAIDs or antigout medications do if they experience ringing in the ears, persistent GI pain, or easy bruising/bleeding?
What should patients taking NSAIDs or antigout medications do if they experience ringing in the ears, persistent GI pain, or easy bruising/bleeding?
What is one condition a patient may have that would cause us to use caution giving an opioid?
What is one condition a patient may have that would cause us to use caution giving an opioid?
Which medication can be an alternative for individuals who cannot take aspirin?
Which medication can be an alternative for individuals who cannot take aspirin?
What is the recommended action regarding NSAIDs prior to any procedures?
What is the recommended action regarding NSAIDs prior to any procedures?
Which of the following is a potential consequence of Colchicine use?
Which of the following is a potential consequence of Colchicine use?
What is a contraindication for the use of Acetaminophen?
What is a contraindication for the use of Acetaminophen?
What are the main adverse effects of Opioid medications mentioned in the text?
What are the main adverse effects of Opioid medications mentioned in the text?
Which medication is stated as the antidote to Opioid overdose in the text?
Which medication is stated as the antidote to Opioid overdose in the text?
What is one of the symptoms a patient may experience during opioid withdrawal according to the text?
What is one of the symptoms a patient may experience during opioid withdrawal according to the text?
Which medication should be avoided in children with flu-like symptoms due to the risk of Reye’s syndrome?
Which medication should be avoided in children with flu-like symptoms due to the risk of Reye’s syndrome?
What is the prophylactic usage of Aspirin primarily indicated for?
What is the prophylactic usage of Aspirin primarily indicated for?
Which medication is an antigout medication that prevents uric acid production?
Which medication is an antigout medication that prevents uric acid production?
What is the best course of action for patients experiencing persistent GI upset when taking NSAIDs?
What is the best course of action for patients experiencing persistent GI upset when taking NSAIDs?
What is a potential consequence of consuming aspirin for a patient with a viral illness such as the flu?
What is a potential consequence of consuming aspirin for a patient with a viral illness such as the flu?
Which medication can be used prophylactically for acute gout?
Which medication can be used prophylactically for acute gout?
Why is it important to avoid giving opioids to patients with severe asthma?
Why is it important to avoid giving opioids to patients with severe asthma?
What can be a potential fatal skin condition associated with Allopurinol/Zyloprim use?
What can be a potential fatal skin condition associated with Allopurinol/Zyloprim use?
Which NSAID is highlighted as being better tolerated on the gastrointestinal (GI) system compared to others?
Which NSAID is highlighted as being better tolerated on the gastrointestinal (GI) system compared to others?
What effect does Aspirin have concerning the risk of death after a Myocardial Infarction (MI)?
What effect does Aspirin have concerning the risk of death after a Myocardial Infarction (MI)?
In which situation should caution be exercised when administering opioids?
In which situation should caution be exercised when administering opioids?
What is the maximum daily dose of Acetaminophen recommended for an older adult or a patient with liver disease?
What is the maximum daily dose of Acetaminophen recommended for an older adult or a patient with liver disease?
Which medication is most suitable for inflammation like a sprained ankle according to the text?
Which medication is most suitable for inflammation like a sprained ankle according to the text?
What should be the immediate action if a patient experiences respiratory depression due to opioids?
What should be the immediate action if a patient experiences respiratory depression due to opioids?
What is a key difference between NSAIDs and Acetaminophen based on the information provided?
What is a key difference between NSAIDs and Acetaminophen based on the information provided?
What is a secondary use of opioids mentioned in the text besides pain relief?
What is a secondary use of opioids mentioned in the text besides pain relief?
Why is it essential for patients to be educated not to crush or chew medications based on the information provided?
Why is it essential for patients to be educated not to crush or chew medications based on the information provided?
NSAIDs are most used for Analgesic, Anti-inflammatory, Antipyretic, Aspirin-Platelet inhibition
NSAIDs are most used for Analgesic, Anti-inflammatory, Antipyretic, Aspirin-Platelet inhibition
Full therapeutic effect of NSAIDs may take _______ or longer.
Full therapeutic effect of NSAIDs may take _______ or longer.
The maximum daily dose of Acetaminophen for a healthy adult is _____ grams per day.
The maximum daily dose of Acetaminophen for a healthy adult is _____ grams per day.
Opioids are most often used to alleviate _______ pain.
Opioids are most often used to alleviate _______ pain.
Physiologic adaptation of the body to the presence of an opioid.
Physiologic adaptation of the body to the presence of an opioid.
Opioid tolerance and physical dependence are expected with long-term opioid treatment.
Opioid tolerance and physical dependence are expected with long-term opioid treatment.
Physical dependance and opioid tolerance are the same as psychologic dependence
Physical dependance and opioid tolerance are the same as psychologic dependence
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.
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.
When you mix codeine sulfate with acetaminophen you now have a class ____ medication.
When you mix codeine sulfate with acetaminophen you now have a class ____ medication.
We would use caution giving a schedule III opioid medication to a patient with
We would use caution giving a schedule III opioid medication to a patient with
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Study Notes
NSAIDs and Allergies
- Patients with a sulfa allergy should avoid the NSAID Sulfasalazine.
Arthritis Treatments
- Topical NSAID available over the counter for arthritis: Diclofenac gel.
Gout Management
- Medication for gout that inhibits uric acid reabsorption: Probenecid.
- Common adverse effect of antigout medications: Diarrhea.
Side Effects Monitoring
- Patients taking NSAIDs or antigout medications should report symptoms like ringing in the ears, persistent GI pain, or easy bruising/bleeding.
Opioid Considerations
- Caution is advised when giving opioids to patients with a history of substance use disorder.
- Aspirin can be substituted for individuals with aspirin intolerance.
Pre-procedure Recommendations
- It is recommended to discontinue NSAIDs before any surgical procedures to minimize bleeding risk.
Colchicine Risks
- Potential consequence of colchicine use includes gastrointestinal toxicity.
Acetaminophen Contraindications
- Acetaminophen is contraindicated in patients with severe liver disease.
Opioid Adverse Effects
- Main adverse effects of opioids include respiratory depression, constipation, and sedation.
Opioid Overdose Rescue
- Naloxone is the antidote for opioid overdose.
Opioid Withdrawal Symptoms
- Symptoms during opioid withdrawal may include anxiety and irritability.
Reye’s Syndrome
- Aspirin should be avoided in children with flu-like symptoms due to the risk of Reye’s syndrome.
Aspirin Prophylaxis
- Prophylactic use of aspirin is primarily indicated for preventing cardiovascular events.
Antigout Medications
- Allopurinol is an antigout medication that prevents uric acid production.
Managing GI Upset
- For persistent GI upset from NSAIDs, switching to a buffered or enteric-coated formulation is recommended.
Aspirin Risks with Viral Illnesses
- Potential consequence of using aspirin with a viral illness includes increased risk of Reye's syndrome.
Acute Gout Prophylaxis
- Colchicine can be used prophylactically for acute gout flares.
Opioids and Asthma
- Avoiding opioids in patients with severe asthma is crucial due to the risk of respiratory depression.
Skin Conditions from Allopurinol
- A fatal skin condition associated with Allopurinol is Stevens-Johnson syndrome.
NSAIDs and GI Tolerance
- Ibuprofen is considered better tolerated in terms of gastrointestinal effects compared to other NSAIDs.
Aspirin and Myocardial Infarction
- Aspirin's effect can lower the risk of death following a myocardial infarction.
Caution in Opioid Administration
- Caution should be exercised when administering opioids to patients with a history of sleep apnea.
Acetaminophen Dosage Limits
- The maximum daily dose of acetaminophen for older adults or those with liver disease is usually limited to 2 grams.
Inflammation Treatment
- NSAIDs such as Ibuprofen are suitable for treating inflammation, like in sprained ankles.
Immediate Action for Respiratory Depression
- Immediate action for respiratory depression due to opioids includes administering naloxone and providing oxygen.
NSAIDs vs. Acetaminophen
- Key difference: NSAIDs provide anti-inflammatory benefits while acetaminophen primarily acts as an analgesic and antipyretic.
Secondary Use of Opioids
- Besides pain relief, opioids may be used to relieve cough or diarrhea.
Medication Administration Education
- Important for patients to understand not to crush or chew certain medications to avoid altering their release mechanisms.
NSAIDs and Therapy Timeline
- Full therapeutic effect of NSAIDs may take several days or longer to manifest.
Acetaminophen Maximum Daily Dose
- The maximum daily dose of acetaminophen for a healthy adult is 4 grams.
Opioids and Pain Management
- Opioids are predominantly used to alleviate acute and chronic pain.
Opioid Tolerance and Dependence
- Opioid tolerance indicates the body's adaptation to prolonged opioid use, which can lead to physical dependence; this should not be confused with psychological dependence.
Codeine and Acetaminophen Combination
- The combination of codeine sulfate with acetaminophen forms a Schedule III medication classification.
Caution with Schedule III Opioids
- Caution should be exercised when administering Schedule III opioids to patients with a history of substance use disorder.
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