Shared Flashcard Set

Details

NSAIDS/Acetaminophen
Exam 3
14
Medical
Professional
02/16/2013

Additional Medical Flashcards

 


 

Cards

Term
Aspirin
Definition
Irreversible cox
low = antiplatelet
inter = angalgesic/antipyretic
high = anti-inflammatory

OVERDOSE = RENAL/HEPATIC FAILURE
causes
1. TINNITUS
2. SALT/H20 RETENTIN

Hepatic enzyme elevation
Term
indomethacin
Definition
not generally used for anti-inflammatory effects
Term
Naproxen
Definition
Longest half-life may make usable for anti-platelet effect

cox1=cox2
Term
Difunisal
Definition
DOES NOT PENETRATE CNS (not antipyretic) AND USEFUL BONE/DENTISTRY

cox1=cox2
Term
Celecoxib
Definition
•Developed for anti‐inflammatory effect
without GI effects
•DO NOT use in pt with CV risk factors
•Also Sulfa drug ‐ STEVEN-JOHNSON SYNDROME plus TOXIC EPI-NECROLYSIS

cox2>cox1
Term
Diclofenac
Definition
Concentrates in joints
cox2>Cox1
Term
Acetaminophen
Definition
NOT ANTI-INFLAMMATORY
(can be given iv)

No known mechanism but potentially involves nitric oxide

good if need healing effects of inflammation (orthopedic/dentistry)or osteoarthritis but not rheumatoid or contraindicated in aspirin use (hemophiliacs)


Toxicity: Nausea/vomiting/cns --> HEPATIC NECROSIS

1) infants (lack glutathione),
2) chronic consumers of alcohol
(induced P-450) 46
450), or
3) if malnourished (depleted GSH)

dose limiter when giving mixed with narcotics
Term
N-Acetylcysteine
Definition
Mucomyst: Glutathione substitute for acetaminophen poisening
Term
Increasing order Cox2
Definition
Indomethacin
Aspirin
Naproxin
Ibuprofen
diflunisal
diclofanac
celecoxib
Term
Increasing Half-life
Definition
Diclofenac
Acetominophen

Indomethacin
Aspirin
Ibuprophen

Celecoxib
Diflunisal

NAPROXEN = LONG LASTING
Term
Special use indomethacin
Definition
Close patent ductus arteriosis
Term
Reyes Syndrome
Definition
Children with viral infections that received Aspirin

Characterized by lethargy, vomiting, rash, confusion,
seizures and loss of consciousness

Decerebrate posture
Term
IV NSAIDS
Definition
Ibuprofen
indomethacin
Term
cox 1 vs cox 2
Definition
cox 1- gi, platelet, vasuclar tone
induced in neurganglia

cox 2: brain kidney
inducible heart, endo
Supporting users have an ad free experience!