NUR 239 - final exam medications
1. What is the ac- •Analgesic = acts peripherally to “pain
tion of aspirin as •Antipyretic = acts on hypothalamus to adjust temperature set point; PG is pyro-
an NSAID? gen
•Anti-inflammatory
•Anti-coagulant = “blood clotting by “platelet aggregation
2. What is the rec- 81 mg/day
ommended low
dose of as-
pirin for preven-
tion/treatment of
MI/CVA?
3. What are the ad- Main - risk for bleeding; renal toxicity
verse effects of •Nausea, dyspepsia, heartburn, GI bleeding, epigastric discomfort (INTESTINES)
aspirin? •“platelet aggregation, hemorrhage, petechiae, bruising
4. What are the •Dizziness, tinnitus, difficulty hearing, mental confusion, headache, sweating,
CM's of as- dehydration > coma, respiratory depression (HEAD)
pirin toxicity (sal-
icylism)?
5. What is the treat- Treatment = Intravenous sodium bicarbonate
ment for aspirin •Produces alkaline urine to help excrete
toxicity? •Activated charcoal, hemodialysis, IV fluids
6. What is the Reye syndrome
black box warn- - brain swelling and liver damage
ing associated
with aspirin use
in children and
teenagers?
, NUR 239 - final exam medications
7. What are the Avoid for ~ 1-2 weeks before surgery
nursing implica-
tions regarding
aspirin use be-
fore surgery?
8. What should be Bleeding, ringing in ears, diminished hearing
monitored in pa-
tients taking as-
pirin?
9. What is the pro- Ibuprofen (Motrin, Advil), Naproxen (Aleve)
totype drug of
Proprionic Acid
Derivatives?
10. What is the main Blocks prostaglandin synthesis
action of NSAIDs - Blocks both COX enzymes (more selective with COX-1)
like ibuprofen
and naproxen?
11. What are the Analgesic (mild - moderate pain), anti-inflammatory, antipyretic
common uses of •Dysmenorrhea, rheumatoid arthritis, osteoarthritis, acute gout
ibuprofen and
naproxen?
12. What are some dyspepsia, heartburn, nausea, epigastric pain, GI ulcerations, hemopty-
adverse effects sis, nephrotoxicity (elevated BUN/creatinine), rash, edema, dyspnea, bron-
associated with chospasm.
NSAIDs like Risk for MI, stroke, hypertension, heart failure
ibuprofen and •Long-term use can cause renal impairment
naproxen? •Assess for renal impairment if ‘serum BUN and creatinine
•Pregnancy category B, D in 3rd trimester
, NUR 239 - final exam medications
13. What are the con- Known allergy to NSAIDs and Salicylates, cross hypersensitivity with aspirin
traindications for
using NSAIDs like
ibuprofen and
naproxen?
14. What are some - total daily dosage should not exceed 3200 mg
nursing interven- - take with food to decrease GI irritation
tions for patients
taking NSAIDs
like ibuprofen
and naproxen?
15. What is the Morphine sulfate
prototype opioid (Schedule II-controlled drug) High Alert Med
analgesic?
16. What are the Morphine silfate, fentanyl, hydromorphone, oxymorphone, codeine, hy-
schedule 2 drocodone (high abuse potential)
drugs?
17. What are the acetaminophen with codeine (<90 mg codeine per dose)
schedule 3 •Schedule IV: tramadol (Ultram) (less abuse potential)
drugs?
18. What are the -CNS effects: CNS depression (drowsiness to unconscious), “mental & physical
common CNS ef- activity, pupil constriction
fects of opioid
analgesics?
19. -Resp: respiratory depression*
-CV: orthostatic hypotension (“BP on standing)
1. What is the ac- •Analgesic = acts peripherally to “pain
tion of aspirin as •Antipyretic = acts on hypothalamus to adjust temperature set point; PG is pyro-
an NSAID? gen
•Anti-inflammatory
•Anti-coagulant = “blood clotting by “platelet aggregation
2. What is the rec- 81 mg/day
ommended low
dose of as-
pirin for preven-
tion/treatment of
MI/CVA?
3. What are the ad- Main - risk for bleeding; renal toxicity
verse effects of •Nausea, dyspepsia, heartburn, GI bleeding, epigastric discomfort (INTESTINES)
aspirin? •“platelet aggregation, hemorrhage, petechiae, bruising
4. What are the •Dizziness, tinnitus, difficulty hearing, mental confusion, headache, sweating,
CM's of as- dehydration > coma, respiratory depression (HEAD)
pirin toxicity (sal-
icylism)?
5. What is the treat- Treatment = Intravenous sodium bicarbonate
ment for aspirin •Produces alkaline urine to help excrete
toxicity? •Activated charcoal, hemodialysis, IV fluids
6. What is the Reye syndrome
black box warn- - brain swelling and liver damage
ing associated
with aspirin use
in children and
teenagers?
, NUR 239 - final exam medications
7. What are the Avoid for ~ 1-2 weeks before surgery
nursing implica-
tions regarding
aspirin use be-
fore surgery?
8. What should be Bleeding, ringing in ears, diminished hearing
monitored in pa-
tients taking as-
pirin?
9. What is the pro- Ibuprofen (Motrin, Advil), Naproxen (Aleve)
totype drug of
Proprionic Acid
Derivatives?
10. What is the main Blocks prostaglandin synthesis
action of NSAIDs - Blocks both COX enzymes (more selective with COX-1)
like ibuprofen
and naproxen?
11. What are the Analgesic (mild - moderate pain), anti-inflammatory, antipyretic
common uses of •Dysmenorrhea, rheumatoid arthritis, osteoarthritis, acute gout
ibuprofen and
naproxen?
12. What are some dyspepsia, heartburn, nausea, epigastric pain, GI ulcerations, hemopty-
adverse effects sis, nephrotoxicity (elevated BUN/creatinine), rash, edema, dyspnea, bron-
associated with chospasm.
NSAIDs like Risk for MI, stroke, hypertension, heart failure
ibuprofen and •Long-term use can cause renal impairment
naproxen? •Assess for renal impairment if ‘serum BUN and creatinine
•Pregnancy category B, D in 3rd trimester
, NUR 239 - final exam medications
13. What are the con- Known allergy to NSAIDs and Salicylates, cross hypersensitivity with aspirin
traindications for
using NSAIDs like
ibuprofen and
naproxen?
14. What are some - total daily dosage should not exceed 3200 mg
nursing interven- - take with food to decrease GI irritation
tions for patients
taking NSAIDs
like ibuprofen
and naproxen?
15. What is the Morphine sulfate
prototype opioid (Schedule II-controlled drug) High Alert Med
analgesic?
16. What are the Morphine silfate, fentanyl, hydromorphone, oxymorphone, codeine, hy-
schedule 2 drocodone (high abuse potential)
drugs?
17. What are the acetaminophen with codeine (<90 mg codeine per dose)
schedule 3 •Schedule IV: tramadol (Ultram) (less abuse potential)
drugs?
18. What are the -CNS effects: CNS depression (drowsiness to unconscious), “mental & physical
common CNS ef- activity, pupil constriction
fects of opioid
analgesics?
19. -Resp: respiratory depression*
-CV: orthostatic hypotension (“BP on standing)
