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UMB OTC-Pain|Fever|Headache
P3 - Exam 2
66
Pharmacology
Professional
11/21/2016

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Cards

Term
Migraine symptoms
Definition
Unilaterally, throbbing, sudden onset
Term
Tension headache symptoms
Definition
Bilaterally,constant, gradual onset
Term
Max duration of OTC headache treatment
Definition
10 days
Term
Can undiagnosed migraine be tested via OTC?
Definition
No
Term
Criteria for chronic tension Dx
Definition
15 or more days per month for more than 3 months
Term
Who is more likely to have a tension headache
Definition
40-49yo
higher education
Term
Sinus headache symptoms
Definition
Face pain
Teeth pain
Nasal congestion
Nasal discharge
Term
Who is more likely to have migraine?
Definition
Perfectionists
Compulsiveness
Stress
Fatigue
Missed meal
Irregular sleep
Term
Medication overuse headache risk
Definition
When discontinuing below drugs after more than twice weekly use for longer than 3mo:

NSAID, aspirin,acetaminophen, caffeine, opioids, triptans
Term
Non-pharm for tension
Definition
PT for head/neck stretching
Relaxation therapy
Term
Non-pharm migraine
Definition
Regular eat/sleep/exercise...
Ice + pressure to forehead/temple area
Avoid foods: Aged cheese, chocolate, red wine, MSG
Term
NSAIDs in the last trimester of pregnancy?
Definition
No, Use acetaminophen
Term
NSAIDs in breast feeding
Definition
Yes
Term
Cardiac patients NSAID recommendation
Definition
Smallest dose for shortest time possible
Term
At what dose does salicylate anti-inflammatory effect happen
Definition
The high end of the spectrum
Term
Signs of salicylate tox
Definition
tinnitus
blurry vision
hyper ventilating
thirst
sweat
Term
Should patient with gout or hyperuricemia take salicylates?
Definition
NO
Term
Aspirin during pregnancy/breastfeeding?
Definition
No
Term
Should a patient who drinks 3 or more drinks/day self-treat?
Definition
No
Term
Tylenol formulations
Definition
Peds: 80-160mg
Regular: 325
Rapid/Extra: 500mg
Extended release: 650mg
Term
Patients on Warfarin
Definition
Acetaminophen; INR will increase
Term
Dosing Acetaminophen
Definition
325-1000mg every 4-6hr
Max: 4000mg
Suggested max: 3250mg
Term
Dosing Ibuprofen
Definition
200-400mg every 4-6hr
Max: 4g ..but book says 1200mg? FML
Term
Dosing Aspirin
Definition
650-100 every 4-6hr
Max: 4g
Term
Dosing Mg Salicylate
Definition
650-100 every 4-6hr
Max: 4g
Term
<19yo + Salicylate + Viral infection =
Definition
Reyes
Term
T/F - Buffered aspirin is absorbed more rapidly, but onset is the same
Definition
T
Term
Naproxen dosing
Definition
220mg every 8-12hr
Max: 660mg .. Old people 440mg
Term
Musculoskeletal pain includes
Definition
Muscles, bones, joints, connective tissue
Term
Tendon connects
Definition
muscle to bone
Term
Ligament connects
Definition
bone to bone
Term
Strain is an injury to
Definition
muscle or tendon
Term
Sprain is an injury to
Definition
ligament
Term
Grades of sprains
Definition
I - stretch
II - partial tear
III - full tear
Term
Strains are caused by what type of motion
Definition
twisting or pulling
Term
Bursitis is an injury to
Definition
joint
Term
When should heat be used
Definition
Non inflammatory pain!
Term
Sprain v. Strain
Definition
Sprain
-is ligament (bone to bone)
-pain with movement

Strain
-tendon (bone-muscle)
-pain at rest
Term
How long should counterirritant be used?
Definition
3-4 times/day for up to 7 days
Term
Should pts exercise after methyl salicylate application
Definition
No 3x absorption increase
Term
Methyl salicylate in children?
Definition
NO
Term
Concentration of camphor required for pain relief?
Definition
>3% ...>11% = CNS tox = death
Term
Concentration of Menthol required for pain relief (counterirritant)
Definition
>1.25%
Term
Applying methyl nicotinate to broad area leads to
Definition
vasodilation = bp drop
Term
Benefit of Trolamine salicylate?
Definition
Does not stink
Term
Use counterirritants in children < 2yo
Definition
NO
Term
The pregnant person counterirritant choice is
Definition
Camphor
Term
Gold standard method of temp meas
Definition
rectal;
Normal = 97.9-100.4 F
>100.4 F = fever
Term
Seek medical attention if you have a fever for longer than
Definition
3 days
Term
Peds seek med attention if fever is
Definition
>100.4 if < 3mo old
>104 F if >3mo old
Term
T/F For the most part Goody's products contain aspirin
Definition
T - and caffeine
Term
When adding the word sinus to formulations __________ is added
Definition
phenylephrine (APAPs)
psuedophederine (NSAIDs)
Term
When adding the word PM to the product _________ is added
Definition
diphenhydramine universally
Term
The OTC product Anacin contains
Definition
Aspirin + caffeine
Term
Excederin extra-strength contains
Definition
APAP, Aspirin, Caffeine
Term
Can you self treat a secondary headache?
Definition
NO
Term
T/F For the most part Goody's products contain aspirin
Definition
T - and caffeine
Term
Active ingredient of:
Aspercreme cream/lotion and Sportscreme
Definition
Trolamine salicylate
Term
Active ingredient of:
Zostrix
Definition
Capsaicin
Term
Active ingredient of:
Aspercream heat pain gel
Bengay
Icy hot no mess
Mineral Ice
Definition
Menthol
Term
List some combination drugs that use methyl salicylate and mentol
Definition
Arthritis hot cream
Bengay Ultra strength + camphor
Flexall Ultra + camphor
Icy hot extra
Salonpas
Term
Which drugs include camphor
Definition
Only = joint flex
Combo=
Bengay Ultra strength
Flexall Ultra
Mentholatum + menthol
Tiger balm + menthol
Term
Seek medical attention if experiencing musuloskeltal pain after
Definition
10 days have passed
7 days of OTC tx w/ counterirritant
10d days of OTC ts w/ systemic agent
Term
Heat is used for non-pharm tx in which 2 mucoskeletal aliments
Definition
OA
Stiffness
Term
The main dx diff btwn sprain and strain
Definition
spRain = pain Relief at Rest
strain = pain at rest
Term
Non pharm for sprain and strain
Definition
RICE
Stretching/strengthening
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