NURS 325 Adults Test 2 SG

and Online Chapter Review Questions** Opioids and Non-opioids (7) 1. Indications, side effects and adverse effects of non-opioids (NSAIDs, aspirin, acetaminophen) and opioids and how they are managed/prevented a. Nonopioids i. Used for mild to moderate acute and chronic pain 1. Most of the time you won’t see extended release medicine for acute pain ii. Examples: 1. NSAIDs a. Thought to be completely safe because OTC but they’re not i. Encourage patients to read labels b. Patients with renal issues won’t be prescribed these c. If on these chronically – will need another medicine to protect from GI bleeding d. Should be given with food or milk i. Decreases risk for bleeding and nausea e. Linked to higher risk for CV events (MI, stroke, HF) f. Risk of hypersensitivity g. Nonselective i. Inhibit COX1 and COX2 ii. Examples 1. Ibuprofen (motrin) 2. Naproxen (Aleve) iii. Side effects 1. Renal impairment 2. Bleeding tendencies 3. GI irritation/bleeding h. Selective i. Block COX1 – thought to be safer because of this ii. Celecoxib (Celebrex) 2. Acetaminophen = Tylenol (ASA) a. Too much can cause toxicity – liver failure acutely or chronically i. Can happen overtime or acutely depending on how b. Sometimes given IV i. Typically more effective for pain ii. Expensive so not given to everyone 3. Aspirin = NSAID a. Not given often in hospital i. If it is, given in low doses to prevent platelets from sticking to areas of plaque in our