Week 1: Headache/Fever Flashcards
(37 cards)
define meaning of nonprescription status
- may be used without medical supervision
- self diagnose, self-treat, self-manage
- low potential for abuse and misuse
- benefits outweigh risks
whats required on OTC labels?
- drug facts
- expiration date
- warnings
- uses
- ingredients
Make sure to ask pt appropriate questions to make proper recommendations. Ex. make sure they aren’t taking blood pressure medication when recommending an OTC which may raise BP
.
Use what patient-care process to determine appropriate OTC recommendation?
CAPIF
what do you collect?
S and O
what do you assess?
appropriateness of recommendation using pt health info
Steps to make a recommendation for a patient complaining about a headache:
- assess pt & pain, obtain medical & med history, ask about attempted treatments
- If pt falls under any of the exclusions for self-treatment give them a medical referral
IF THEY DON’T -> - if using pain meds for HAs more than 3x/wk decrease use over a few days. if HA persists see Dr
IF THEY DON’T -> - If pt has diagnosed migraines or symptoms typical of sinus or episodic tension-type HA recommend appropariate nonpharm/pharm therapy
-> if not, refer to Dr.
Tension-Type Headache Location: Feeling: Intensity: Onset: Duration: Aggrevators: Non-headache symptoms:
bilateral tightening, pressing, constricting mild-moderate gradual onset 30 min to 7 days stress, anxiety scalp tenderness, neck pain and muscle tension
Migraine Headache Location: Feeling: Intensity: Onset: Duration: Aggrevators: Non-headache symptoms:
usually unilateral throbbing, pulsating moderate-severe sudden onset 4-72 hrs physical activity, light, sound nausea, vomiting, aura
Sinus Headache Location: Feeling: Intensity: Onset: Duration: Aggrevators: Non-headache symptoms:
face, forehead, or periorbital area (eyebrow level)
pressure behind eyes or face, dull and bilateral pain
mild-severe
simultaneous with sinus symptoms
days (resolves with sinus symptoms
nasal congestion
nasal congestion, nasal discharge
what are the exclusions for self-treatment for a headache (when you should give pt a medical referral)
severe pain continuous, worsening HAs HA persists for 10 days w/ or w/o treatment under 8 y/o high fever/sign of infection neck stiffness last trimester of pregnancy new headache during pregnancy history of liver disease or has over 3 alcoholic drinks daily
clinical reasons to avoid recommending salicylates and NSAIDS:
asthma GI ulcers gout using anti-coagulant therapy/coagulation disorder HBP congestive heart failure (CHF) kidney disease
if pt under 12 y/o, what drug should you avoid?
naproxen
if pt under 18 y/o, what drug should you avoid?
salicylates
for children younger than 12:
what is the weight based dosing for ibuprofen?
dosing interval?
maximum daily dose?
5-10 mg/kg
q 6-8h
300mg per dose up to 4 doses, DNE 1200mg/day
max dose of ibuprofen for 6-11 months 12-17 lbs?
acetaminophen?
50mg
80mg
max dose of ibuprofen for 12-23 months 18-23 lbs?
acetaminophen?
75mg
120mg
max dose of ibuprofen for 2-3 years 24-35 lbs?
acetaminophen?
100mg
160mg
max dose of ibuprofen for 4-5 years 36-47 lbs?
acetaminophen?
150mg
240mg
max dose of ibuprofen for 6-8 years 48-59 lbs?
acetaminophen?
200mg
320mg
max dose of ibuprofen for 9-10 years 60-71 lbs?
acetaminophen?
250mg
400mg
max dose of ibuprofen for 11 years 72-95 lbs?
acetaminophen?
300mg
480mg
for children younger than 12:
what is the weight based dosing for acetaminophen?
dosing?
maximum daily dose?
10-15 mg/kg
q 4-6h
480mg per dose up to 5 doses, DNE 2400mg/day
adult maximum daily dose of acetaminophen IR?
325-1000mg q 4-6h, DNE 3000 mg
