How much do you know about analgesics? Would you like to try this quiz? Analgesic drugs work via interaction with the peripheral and central nervous systems. They work to block pain signals before reaching the brain and generate no pain. Morphine is the most prescribed steroid opioid. If you want to learn more about analgesics, you will find this quiz See moreto be extremely helpful.
True
False
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True
False
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NSAIDS
Antimigraine Agents
Beta Blockers
Narcotics
Calcium Channel Blockers
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No biologic benefit
Unrelenting and adaptation of SNS
Protective
Recovery Expected
Activation of the SNS
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Adaptation of SNS
Commonly experienced psychological implications
Few psychological implications
It is a disease
Focused at site of injury
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Cancer - acute/chronic pain r/t cancer
Somatic- bone, muscle, joint
Superficial- skin, mucous membrane injury
Vascular- vascular conditions (headaches/migraines)
Visceral- organ pain
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Non - opioid for mild pain, non- narcotic
Opioids for moderate severe pain
Adjuvant analgesics- muscle relaxants, antidepressants, benzodiazepines
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Non - opioid for mild pain, non- narcotic
Adjuvant analgesics- muscle relaxants, antidepressants, benzodiazepines
Opioids for moderate severe pain
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Opioids for moderate severe pain
Adjuvant analgesics- muscle relaxants, antidepressants, benzodiazepines
Non - opioid for mild pain, non- narcotic
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Oxycodone
Acetaminophen
Hydrocodine
Asprin
Naproxen
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Heat
Erythema
Loss of function
Edema
Pain
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Non Steroidal Anti Inflammatory drugs
Corticosteroids
Disease-modifying anto rheumatic drugs
Anti gout
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Salicylates (asprin)
Par-cclorobenzoic Acid (indomethacin/Indocin)
Phenylacetic Acid Derivatives ( Voltaren)
Popionic Acid derivatives (Ibruprofen)
Fenamates and oxicams
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Selective COX2 inhibitor (Celebrex)
Oxicam (Piroxicam, Feldene)
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COX1
COX2
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COX1
COX2
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Reduces pain
Protects stomach lining
Decreases fever
Promotes platelet aggregation
Suppresses inflammation
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Reduces Pain
Promotes platelet aggregation
Suppresses inflammation
Decreases fever
Protects stomach lining (protects ulcer)
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True
False
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Analgesic effect
Vasoconstriction effect
Antipyretic effect
Antidialation effect
Anti inflammatory effect
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Asprin Allergy (asthma relationship)
Renal Failure (kidney)
Congestive Heart Failure
GI Bleed
Ulcers
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Asprin
The Generic name for Asprin is Acetylsalicylic Acid (ASA)
Asprin is found in bayer, bufferin, ecotrin, anacin, alka seltzer
Inhibits COX1 and COX2
Analgesic, Antipyretic and anti inflammatory effects
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Danger of Reye's Syndrome
Fast onset and peak action
Short half life
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80
81.5
81
80.5
91
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Topical
Erratic Absorption
Subcutanous
By mouth
IV
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4
5
3
6
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Gastric distress can lead to a peptic ulcer
Urticaria (Hives)
Bronchospasms - can percipitate asthma in asprin sensitive patients
Tinnitus (ringing in the ears (a sign of toxicity)
Vertigo
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Thrombocytopenia (low platelets)
Heptotoxicity (liver damage)
Agranulocytosis (decreased WBC)
Peptic Ulcer
Hypoparathyroidism
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Inodomethacin (Indocin)
Ketorolac (Toradol)
Sulindac (Clinoril)
Tolmetin (Tolectin)
Mefenacmic Acid (Ponstel)
Rheumatoid arthritis
Tinnitus
Gouty Arthritis
Pruritus
Osteoarthritis
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Very irritating on the stomach
Rash
Cause water and sodium retention
Anorexia
Increases Blood Pressure
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Oral
Topical
IV
Intramuscular
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CHF
Rheumatorid Arthritis
Renal Failure
Asprin Allergy
Insulin Dependent
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RA
Osteoarthritis
Post-Operative Pain (gyn)
Analgesic and anti-inflammatory effect (no antipyretic effect)
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True
False
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Tylenol
Ibuprofens
Naproxen
Aleve
Advil
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3300
3400
3200
3000
3100
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True
False
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N/V
Muscle spasms
Rash
Anorexia
Gi upset or bleed
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Celecoxib (Celebrex)
Meclofen-amate sodium monohydrate (Meclomen)
Nabumetone (Relafen)
Mefenamic acid (Ponstel)
Piroxicam (Feldene)
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Dizziness
Edema
Gastric Irritation
Tinnitus
Pruritius
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Propionic Acid
Oxicams
Fenamates
COX-s Inhibitors
Phenylacetic Acid
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Piroxicam (Feldene)
Celecoxib (Celebrex)
Nabumetone (Relafen)
Meclofen (Meclomen)
Mefenamic (Ponstel)
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For those with chronic conditions that need high dose of NSAIDs putting them at risk for a peptic ulcer bleed
Does not thin blood, causing blood to coagulate
Has a new risk for heart attack and stroke
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True
False
3
4
5
6
2
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Nephrotoxicity
Hepatotoxicity
Mucomyst (Acetylcysteine)
Meperidine (Demeral)
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Morphine
Meperidine (Demeral)
Hydromorphone (Dilaudid)
Codeine
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