PCA stands for what?
Patient controlled analgesia
Nubain and Pentazocine have what effect that reaches a maximum analgesic effect and no more?
Ceiling effect
Nubain, Stadol, and Talwin are agonist-antagonist/partial agonist/mixed agonist drugs and cause _________ response than full agonist drugs.
Weaker
_______ reverses respiratory depression caused by opioids.
Narcan
________ analgesics should never be used in a patient that has had a head injury, has risk for respiratory depression, has intercranial pressure, or severe asthma.
Opioid
Morphine __________ intercranial pressure.
Increases
__________ analgesics should not be used in patients who are morbidly obese, have sleep apnea, paralytic ileus, or are pregnant.
Opioid
Euphoria, CNS depression, respiratory depression, urinary retention and constipation, diaphoresis and flushing, nausea, vomiting, pupil constriction (miosis), and itching are all adverse effects of _________ analgesics.
Opioid
Naloxone (Narcan), and naltrexone (Revia) are used in the management of opioid __________.
Toxicity
Fentanyl (Duragesic) is a opioid transdermal patch that should be changed when?
Every 3-7 days
Meperidine (Demerol) can cause __________.
Seizures
Methadone is used as a ___________ treatment.
Detoxification
Acetaminophen has a maximum daily dose of ________mg/day.
3000
Opioid drugs should be held if patient respirations are below _____resp/min.
10
Patient education of opioid use should include an increase in ________ and _________ to counteract constipation.
Fluids and fiber
Antiinflammatories inhibits __________ aggregation.
Platelet
What kind of antiinflammatories have the ceiling effect?
NSAIDS
What antiinflammatories can cause GI bleeding, ulcers, and erosions, worsen renal impairment, tinnitus, pulmonary edema, liver toxicity and rash?
NSAIDS
Tinnitus is a common side effect of what antiinflammatory treatment?
Salicylate
Misoprostol (Cytotec) is used to decrease the dangerous effects of tubular necrosis but should bot be used in what type of patient?
Pregnant
An NSAID should not be taken within _____ hours of taking an antacid.
2
NSAIDS ________ the effects of beta blockers, ACE inhibitors, diuretics, and the absorption of anilipemics.
Decrease
NSAIDS _________ the effects of anticoagulants, and digoxin toxicity.
Increase
Patients 12 years old and younger experiencing flu-like symptoms should never be given _________ due to Reye's Syndrome.
Aspirin
Ascriptin is a combination of _________ and antacid.
Aspirin
Diflunisol (Dolobid), choline magnesium trisalicylate (Trilisate), and salsalate (Salsitab) are all _________ based drugs.
Aspirin
Tinnitus, hearing loss, and metabolic acidosis are all signs of chronic aspirin ________.
Toxicity
Ketorlac (Toradol) is a powerful analgesic given to patients with __________ __________.
Multiple sclerosis
Celoxib (Celebrex) should never be given to a patient with a __________ allergy.
Sulfa
Relafen (Nabumetone) is only used for the treatment of _______ and ________ arthritis.
Osteo and rheumatoid
___________ is an antiinflammatory that should be avoided in patients taking ACE inhibitors.
Naproxen
Ibuprofen, naproxen, and oxaprozin have a _________ effect, which means they have a maximum analgesic effect and no more.
Ceiling
_________ is the drug of choice for acute gout pain.
Colchicine
Cochicine can cause a decrease in WBC called _________.
Leukapenia
Colchicine should be administered 1 hour before a meal of ______ hours after.
2
Allopurinol (Zyloprim) have contraindications with alcohol and ________.
Caffeine
___________ is used concurrently with PCN to prevent its excretion and increase the levels of the PCN to prolong its effect.
Probenecid (Benemid)
Glucosamine and Chondroitin increase the effects of _________ and insulin resistance.
Warfarin
Benzodiazepines __________ activity in the CNS.
Depress
Benzodiazepines are used in the treatment of __________ withdrawal as well as anti-anxiety, and epilepsy.
Alcohol
Flurazepam (Dalmane) can give morning _________ that is more common in the elderly.
Hangover
Triazolam (Halcion) is used for short term treatment of ___________.
Insomnia
Flumazenil (Romzicon) is used as a reversal agent of __________.
Benzodiazepines
A patient experiencing benzodiazepine toxicity such as somnolence, confusion, and coma should never undergo what blood filtering treatment that is common in other drug toxicity management?
Hemodialysis
Barbituates should never be given to _________ women and those with respiratory and liver dysfuntion.
Pregnant
Alcohol, opioid, MOA inhibitors all _________ the effects of barbituates.
Increase
Barbitutates ________ the effect of anticoagulants.
Decreases
A ___________ monitor should be used when a patient is given phenobarbital IV.
Cardiac
A patient should never be given ________ ____ ________ to induce vomiting in a patient with barbituate toxicity.
Syrup of ipecac
Baclofen and cyclobenazaprine cause ___________ relaxation.
Muscle
Dantrolene (Dantrium) can be used to reverse the muscle rigidity and increase temperature in _________ _________.
Malignant hyperthermia
Phenobarbital is used in the treatment of __________ __________ and febrile seizures.
Status epilepticus
Therapeutic levels of phenobarbital are ______-______mcg/mL.
15-40
Phenytoin (Dilantin) can cause urine to turn the color of ______ ______.
Red wine
Therapeutic levels of phenytoin (Dilantin) are between ______ and ________ mcg/mL.
5; 20