Pharmacologic Mngmt Part II

Question 1

When should pain be evaluated and documented?

Answer 1

At each appointment

Question 2

Examples of non-opioid analgesics

Answer 2

NSAIDs

Acetaminophen

Question 3

First-line therapy for pre and post-op procedures

Answer 3

Non-opioid analgesics

Question 4

Cause respiratory depression.

Answer 4

Opioid analgesics.

Question 5

Ibuprofen (NSAID) brand name

Answer 5

Motrin or advil

Question 6

Ibuprofen dose for children under 12.

Answer 6

4-10 mg/kg every 6-8 hrs

Question 7

Ibuprofen dose for children > 12, and adults

Answer 7

200 mg every 4-6 hrs

Question 8

Inhibit the Cylcooxygenase conversion of arachidonic acid to prostaglandins

Answer 8

NSAIDs

Question 9

What is Reye’s Syndrome

Answer 9

Brain, liver, and kidney damage caused by aspirin use in children

Question 10

Caution with NSAID’s

Answer 10

GI disease, bleeding conditions, impaired renal function

Question 11

Analgesic, anti-pyretic, and anti-inflammatory.

Answer 11

NSAIDs

Question 12

Brand name of Acetaminophen

Answer 12

Tylenol

Question 13

Does NOT have anti-inflammatory properties.

Answer 13

Acetaminophen

Question 14

Acetaminophen dose in kids under 12

Answer 14

10-15 mg/kg every 4-6 hrs

Question 15

Acetaminophen dose in kids > 12

Answer 15

325-650 mg every 4-6 hrs

Question 16

Overdose of Acetaminophen can cause what?

Answer 16

Acute liver failure

Question 17

Acetaminophen is metabolized into this toxic intermediate.

Answer 17

NAPQ1

Question 18

Detoxifies NAPQ1

Answer 18

Glutathione

Question 19

Acetaminophen is broken down to ______, which is broken down by ______.

Answer 19

NAPQ1, Glutathione

Question 20

Initial symptoms of Acetaminophen toxicity.

Answer 20

Nausea, vomiting, drowsiness, lethargy, malaise

Question 21

Acetaminophen toxicity symptoms progress to:

Answer 21

Upper right quadrant pain, Tachycardia, hypotension, hepatic dysfunction, multi-organ failure.

Question 22

Antidote for Acetaminophen toxicity, that increases Glutathione levels

Answer 22

NAC (N-acetylcysteine)

Question 23

Liquid Acetaminophen with Codeine contains what?

Answer 23

120 mg of Acetaminophen + 12 mg Codeine/5 mL suspension

Question 24

Tablet form of Acetaminophen + Codeine contains what?

Tablet #2
Tablet #3
Tablet #4

Answer 24

Tablet #2 = 300 mg aceta + 15 mg codeine

Tablet #3 = 300 mg aceta + 30 mg codeine

Tablet #4 = 300 mg aceta + 60 mg codeine

Question 25

Dose Codeine < 12 years old

Answer 25

0.5 -1 mg/ kg

Question 26

What is codeine metabolized to?

Answer 26

Morphine

Question 27

Opioids do NOT have these properties.

Answer 27

Anti-inflammatory

Question 28

Opioids most dangerous side effect.

Answer 28

Respiratory depression

Question 29

May not be able to get the tissue fully numb in the presence of this.

Answer 29

Acute infection

Question 30

T/F: Best course of action may be to place the child on antibiotics and return 5-10 days later for extraction so get the child out of acute pain.

Answer 30

True

Question 31

How often is Amoxicillin taken?

Answer 31

Every 8 hours

Question 32

Given if there's an Amoxicillin allergy

Answer 32

Clindamycin

Question 33

1 tsp is how many mL?

Answer 33

5 mL