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 to be extremely helpful.
True
False
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True
False
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True
False
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True
False
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Selective COX2 inhibitor (Celebrex)
Oxicam (Piroxicam, Feldene)
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COX1
COX2
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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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Non - opioid for mild pain, non- narcotic
Opioids for moderate severe pain
Adjuvant analgesics- muscle relaxants, antidepressants, benzodiazepines
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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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True
False
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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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3
4
5
6
2
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COX1
COX2
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4
5
3
6
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Oxycodone
Acetaminophen
Hydrocodine
Asprin
Naproxen
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Danger of Reye's Syndrome
Fast onset and peak action
Short half life
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Analgesic effect
Vasoconstriction effect
Antipyretic effect
Antidialation effect
Anti inflammatory effect
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True
False
Heat
Erythema
Loss of function
Edema
Pain
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Propionic Acid
Oxicams
Fenamates
COX-s Inhibitors
Phenylacetic Acid
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Is 6x more potent than morphine with fewer hypnotic and gi effects
Monitor respirations
Adequate hydration is needed for elimination
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Rheumatoid arthritis
Tinnitus
Gouty Arthritis
Pruritus
Osteoarthritis
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Assessed on a pain level using the 0-10 rating scale
Assess non verbal cuse of pain
Client education on pain management
Many hospitals document every 8 hours minimum
Pain is included in Vital signs
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Reduces Pain
Promotes platelet aggregation
Suppresses inflammation
Decreases fever
Protects stomach lining (protects ulcer)
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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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3300
3400
3200
3000
3100
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Dizziness
Edema
Gastric Irritation
Tinnitus
Pruritius
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80
81.5
81
80.5
91
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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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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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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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Talwin
Nubain
Stadol
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Non Steroidal Anti Inflammatory drugs
Corticosteroids
Disease-modifying anto rheumatic drugs
Anti gout
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Ibuprofen
Hydrocodone
Acetaminophen
Tylenol
Codeine
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Asprin Allergy (asthma relationship)
Renal Failure (kidney)
Congestive Heart Failure
GI Bleed
Ulcers
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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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Very irritating on the stomach
Rash
Cause water and sodium retention
Anorexia
Increases Blood Pressure
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Nephrotoxicity
Hepatotoxicity
Mucomyst (Acetylcysteine)
Meperidine (Demeral)
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Morphine
Meperidine (Demeral)
Hydromorphone (Dilaudid)
Codeine
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Tylenol
Hydrocodone
Ibuprofen
Acetaminophen
Oxycodone
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Oral
Topical
IV
Intramuscular
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RA
Osteoarthritis
Post-Operative Pain (gyn)
Analgesic and anti-inflammatory effect (no antipyretic effect)
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Naxolone (Narcann)
Methadone
Mucomyst (Acetylcysteine)
Narcotic antagonist
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Are used for acute pain
Are used for chronic pain
Are used for postoperative pain
Include Fentanyl (Duragesic)
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Codeine
Hydrocodone
Tylenol
Ibuprofen
Acetaminophen
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Tylenol
Oxycodone
Ibuprofen
Codeine
Acetaminophen
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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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Quiz Review Timeline (Updated): Mar 22, 2023 +
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