Pain Meds Flashcards Preview

MSK > Pain Meds > Flashcards

Flashcards in Pain Meds Deck (32):
1

Tramadol Drug Class

synthetic opioid analgesic

2

Tramadol Indication

moderate/severe pain

3

Tramadol SE

1. dizziness
2. flushing
3. pruritis
4. seizures
5. constipation

4

Tramadol contra/dx-dx

1. MAOIs
2. SSRI

5

Acetaminophen Class

analgesic-antipyretic

6

Acetaminophen MOA

-CNS anti-prostaglandin
-blocks peripheral pain impulse

7

Acetaminophen Indications

mild/moderate pain, fever

8

Acetaminophen SE

1. increased ammonia
2. blood dyscarasias
3. edema, rash

9

Acetaminophen dx-dx

1. anti-convulsants lower APAP
2. increase warfarin

10

Acetaminophen monitor

liver

11

Ibuprofen class

Traditional NSAID

12

Ibuprofen MOI

1. inhibit COX1 and COX2 enzymes
2. reduces PG, prostacyclin, thromboxane

13

Ibuprofen Indication

pain due to inflammation

14

Ibuprofen contra

1. HTN
2. CKD
3. HF
4. CVD
5. h/o GI bleed

15

Ibuprofen dx-dx

1. anticoags
2. diuretics
3. lithium

16

Ibuprofen other

1. gastric protection with PPI
2. problems with ASA
3. salt-retaining (causes fluid retention)

17

Celebrex drug class

Cox2 selective NSAID

18

Celebrex MOA

Inhibits COX2 (reduces PG, prostacyclin)

19

Celebrex Indications

pain secondary to inflammation

20

Celebrex SE

LOTS!
increased clotting

21

Celebrex Contraindications

1. HTN
2. CKD
3. HF
4. CVD

22

Celebrex dx-dx

1. other NSAIDS
2. diuretics
3. lithium
4. anti-htn

23

Celebrex other

helps elderly with GI bleed but increases CVD problems

24

Cox 1 Enzyme

1. Constituative
2. gastric mucosa, kidney, platelets
3. Prostaglandins (protect gastric mucosa, dilate afferent artery glomerus)
4. Thromboxanes (vasocontriction, platelet aggregation)

25

Cox2 Enzyme

1. Inducible
2. most tissues
3. prostaglandins (pain, fever)
4. prostacyclins (vasodilation, anti-platelet activity)

26

Prednisone class

glucocorticoids

27

Prednisone MOA

Inhibition of cytokines and inflammatory mediators

28

Prednisone Indication

short-term RA use

29

Prednisone SE

1. weight gain
2. decreased wound healing
3. osteoporosis
4. HTN
5. mood
6. cataracts
7. dyslipidemia

30

Prednisone Contra

infection, TB

31

Prednisone dx-dx

Lots!
TB

32

Prednisone other

down titrate dosing if more than 2 weeks
PG: C/D