NURS 474a Exam 2 (other-2022)
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Cyclooxygenase Inhibitor Main Effects
Ans: -can suppress inflammation
-relieve pain
-reduce fever
Function of COX-1
Ans: -gastric protection
-maintenance of submucosal blood flow
-platelet aggregation
-maintenance of renal function and perfusion
Inhibition of COX-1
,2 | Page
Ans: -gastric ulceration
-increased bleeding
-protection against MI
-renal impairment
Function of COX-2
Ans: -vasodilation
-maintenance of renal function and perfusion
-inflammation
-pain (injured tissue and brain)
-fever
-promotes colorectal cancer
Inhibition of COX-2
,3 | Page
Ans: -vasoconstriction
-renal impairment
-reduced inflammation
-analgesia (injured tissue and brain)
-reduced fever
-protects against colorectal cancer
First Generation NSAIDs
Ans: Ex: Aspirin and Ibuprofen
-inhibits both COX-1 and COX-2
Aspirin
, 4 | Page
Ans: Irreversible COX inhibitor.
First Gen NSAID
Unique in that:
-protect against Myocardial Infarction (MI)
-protect against stroke
Adverse Effects
-gastrointestinal issues
-bleeding
-renal impairment
-salicylism
-reye's syndrome
Should not be used during pregnancy.
Salicylism