exam 2- lecture 1 Flashcards
(52 cards)
prevents new tophi and mobilizes those present..acute attacks of gout- colchines or NSAID
probenecid
an inert substance made to look similar to the study of medicine.. “sugar pill” having no effect other than physiological
placebo
chracteristics of apap
analgesic and antipyretic
equally effacious and potent as analgesisc and antipyretics
no sig. antiinflammatory properties
does not affect the GI tract, platelets adhesion or uric acid excretion
reduces fever y inducing peripheal vasodilation and sweating
antipyretic
what are some adverse reactions of ASA?
GI-can exacerbate ulcers
Bleeding-reduces platelet adhesiveness
Reye’s Syndrome-lead to blindness, hepatoxicity and encephalopathy and death
Pregnancy-wth asa abuse-increased risk of still births or neonatal deaths as well as decreased birth weight
Allergy- true allergy is less than 1%, GI upset rather than allergy
Toxicity- salicylism-chracterized by tinnitus, headache, nausea, vomiting, dizziness, and dimness of vision
rapidly and almost completely absored from the stomach and small intestines, should never be applied topically to the oral mucosa to treat a toothache (ulceration occurs)
ASA
what is pain threshold raised by?
sleep, sympathy, activities, and anelgesics
a decrease in the pain threshold (greater reaction to pain) is associated with:
emotional instability, anxiety, fatigue, fear and apprehension
therapeutic uses for NSAIDS
osteoarthritis, rheumatoid arthritis, gouty arthritis, fever, dysmenorrhea, and pain
what are the adverse effects of NSAIDS?
reversibly inhibit platelet aggregation-platelets reform in 1 day (asa takes 4 days)
some muscle weakness
in pt. with kidney problems- NSAIDS can cause fluid retention
ibprofuen is a drug of choice for treating a nursing women
zomax- NSAID removed from market bc of fatality of some pts. (hypersensitivy reaction-anaphylactic shock)
act within the CNS
opiods
who are the primary victims of accidental poisoning?
children
LD50 for children is 4 gm
LD50 for adult is 10-30 gm
what are salicylates?
aspirin is the most useful for analgesia
what are some examples of specific nonsteroidal antiinflammatory agents?
ibuprofen
naproxen/naproxen sodium
ketorolac
bromfenac
ASA reduces the effect of these
antihypersensitives
this is the most useful drug group for the treatment of dental pain and inhibits prostoglandin synthesis
NSAIDS
Non Steroidal Antiinflammatory drugs
only use one to treat gout, taken hourly at the onset of the attack
colchicine
APAP
acetaminophen (tylenol)
used to manage dental pain in patients whom NSAIDS are contraindicated.. comes from the unripe seed capsules of the opium poppy (opium)..refereed to as narcatotics
opiods
act at peripheal nerve endings and divided into salicylates, acetaminophen, and NSAIDS
non-opiods
what potentiates the analgesic effect of ASA?
caffeine
400 mg of ibuprofen is more effective than…
650 mg ASA
600 mg APAP
both ASA/APAP and 60 mg codeine
usual dose- 400-800 gm every 4-6 hrs
physiological component response of pain and involves the patients emotional response to the pain
reaction
removed from market because of hepatic toxicity
bromfenac (duracet)