CHAPTER 16 Flashcards
(39 cards)
It protects the body from injury and pathogens using chemical mediators.
Inflammatory Response
Signs of inflammation
Swelling
Fevers
Aches
Pain
It can lead to tissue damage and increased inflammatory reactions.
Chronic Inflammation
It block or alter chemical reactions associated with inflammation to reduce symptoms.
Antiinflammatory agents
It block the inflammatory and immune systems, with systemic use causing significant adverse effects and reduced infection resistance.
can also be used topically for localized effects with fewer side effects.
Corticosteroids
block histamine’s role in initiating inflammation.
Antihistamine
are used for chronic disorders like rheumatoid arthritis and Crohn’s disease.
Immune modulating agents
It include salicylates, nonsteroidal antiinflammatory drugs (NSAIDs), and antiarthritis drugs.
Common antiinflammatory drugs
It can lead to abuse, overdosing, misdiagnosis, and toxicity.
Over-the-counter (OTC) antiinflammatory drugs
More susceptible to gastrointestinal (GI) and central nervous system (CNS) effects of antiinflammatory drugs
Children
Must be cautious of the presence of antiinflammatory drugs in OTC products to avoid toxicity.
Adults
Proper dosing is crucial, especially with over-the-counter (OTC) products.
Children
Only recommended salicylates for children are
choline magnesium trisalicylate and aspirin (not first choice).
Antiinflammatory drugs should not be used if there is a risk of:
Reye syndrome, particularly after viral infections.
Approved NSAIDs for children include
Ibuprofen
Naproxen
Tolmetin
Meloxicam
Indomethaxin (sometimes)
It is commonly used, but overdose can cause severe hepatotoxicity to CHILDREN.
Acetaminophen
Children with arthritis may be treated with what? requiring close monitoring for toxicity.
Gold salts or Etanercept
Pregnant and nursing women should avoid these drugs unless necessary, due to risks to the fetus or neonate.
Antiinflammatory Drugs
may be used cautiously; nondrug measures are preferred for ADULTS.
Acetaminophen
used for arthritis are particularly toxic in OLDER ADULTS, potentially causing renal, GI, and liver problems; doses should be reduced and patients closely monitored.
Gold salts
Treatment of fever, pain, inflammatory condi-tions; at low dose to prevent the risk of death and Mi in patients with history of Ml, prevention of transient ischemic attacks
Apsirin
Treatment of fever, pain, inflammatory condi-tions; at low dose to prevent the risk of death and Mi in patients with history of Ml, prevention of transient ischemic attacks
Apsirin
Treatment of mildly to moderately acute ulcerative colitis in adults
Balsalazide
Relief of mild pain, fevers; treatment of arthritis
Choline Magnesium Trisalicylate