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    Analgesics Non-Opiod Analgesics: Acetominophen (Tylenol) Therapuetic Class

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    Jonathon
    Non-opioid analgesics like acetaminophen and aspirin are used to treat mild to moderate pain and fever. Acetaminophen can cause liver toxicity in large doses and interacts with warfarin, while aspirin increases bleeding risks and is contraindicated in children due to Reye's Syndrome. NSAIDs including ibuprofen, naproxen, and meloxicam are non-opioid pain relievers used for mild to moderate pain and inflammation but can cause gastrointestinal bleeding. Opioid analgesics such as morphine, hydromorphone, and fentanyl are used for moderate to severe pain but carry risks of respiratory depression, constipation, and abuse potential.

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    Analgesics Non-Opiod Analgesics: Acetominophen (Tylenol) Therapuetic Class

    Uploaded by

    Jonathon
    59 views5 pages
    Non-opioid analgesics like acetaminophen and aspirin are used to treat mild to moderate pain and fever. Acetaminophen can cause liver toxicity in large doses and interacts with warfarin, while aspirin increases bleeding risks and is contraindicated in children due to Reye's Syndrome. NSAIDs including ibuprofen, naproxen, and meloxicam are non-opioid pain relievers used for mild to moderate pain and inflammation but can cause gastrointestinal bleeding. Opioid analgesics such as morphine, hydromorphone, and fentanyl are used for moderate to severe pain but carry risks of respiratory depression, constipation, and abuse potential.

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    anagelsic

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    Analgesics 2011

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    Non-opioid analgesics like acetaminophen and aspirin are used to treat mild to moderate pain and fever. Acetaminophen can cause liver toxicity in large doses and interacts with warfarin, while aspirin increases bleeding risks and is contraindicated in children due to Reye's Syndrome. NSAIDs including ibuprofen, naproxen, and meloxicam are non-opioid pain relievers used for mild to moderate pain and inflammation but can cause gastrointestinal bleeding. Opioid analgesics such as morphine, hydromorphone, and fentanyl are used for moderate to severe pain but carry risks of respiratory depression, constipation, and abuse potential.

    Copyright:

    © All Rights Reserved
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    Download as pdf or txt
    59 views5 pages

    Analgesics Non-Opiod Analgesics: Acetominophen (Tylenol) Therapuetic Class

    Uploaded by

    Jonathon
    Non-opioid analgesics like acetaminophen and aspirin are used to treat mild to moderate pain and fever. Acetaminophen can cause liver toxicity in large doses and interacts with warfarin, while aspirin increases bleeding risks and is contraindicated in children due to Reye's Syndrome. NSAIDs including ibuprofen, naproxen, and meloxicam are non-opioid pain relievers used for mild to moderate pain and inflammation but can cause gastrointestinal bleeding. Opioid analgesics such as morphine, hydromorphone, and fentanyl are used for moderate to severe pain but carry risks of respiratory depression, constipation, and abuse potential.

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    ANALGESICS

    Non-Opiod Analgesics

    NON-OPIOD
    ANALGESICS

    COMMON USES

    WHAT I NEED TO KNOW AS A BRAND NEW


    NURSE

    Acetominophen (Tylenol)

    *Antifever DOC for children


    and adolescents due to the
    risk of Reyes Syndrome
    with aspirin products.
    * Indicated for the treatment
    of mild to moderate pain, or
    fever. Minimal to no antiinflammatory effects.
    *Primary alternative to
    NSAIDs

    * Hepatotoxic in large doses, contraindicated with known liver


    disease or in patients who consume alcohol on a regular basis
    *Acetominophen inhibits Warfarin metabolism, which can cause
    Warfarin to accumulate to toxic levels.
    *With long-term use monitor hepatic function tests, ALT, AST, and
    bilirubin
    *Treat overdose with IV or oral N-acetylcysteine (Acetadote)

    Indicated for the treatment of


    mild to moderate pain,
    especially pain associated
    with inflammation.
    *Antipyretic
    *Anticoagulant, indicated to
    reduce the risk of MI, strokes
    and colorectal cancer

    *Most serious adverse effect is GI complaints including GI bleeding.


    *Available in enteric-coated and buffered preparations for patients
    who experience GI effects.
    *Discontinue 1 week prior to surgery due to its anticoagulant effects
    *Excreted in urine, may affect urine testing for glucose and
    vanillylmandelic acid (VMA)
    * Aspirin contraindicated in children and adolescents due to the risk
    of Reyes Syndrome.
    * Contraindicated with vitamin K deficiency and peptic ulcer disease.

    Therapuetic class:
    Analgesic, antipyretic

    Aspirin (ASA,
    Acetylsalicylic Acid)
    Therapuetic Class:
    Analgesic, NSAID,
    antipyretic

    NSAIDS
    Common NSAIDS: Ibuprofen
    (Advil, Motrin), Naproxen sodium
    (Anaprox, Aleve), Meloxicam
    (Mobic), ketorolac tromethamine
    (Toradol)

    *DOC for the treatment of


    mild to moderate pain,
    especially pain associated
    with inflammation.
    *Antipyretic
    *Certain types of arthritis

    * Most serious adverse effect is GI complaints including GI bleeding.


    * Take with food or milk to decrease GI upset
    * Contraindicated with peptic ulcer disease.
    *Monitor renal function and urine output with long-term use
    *Use with caution in patients with history of heart failure,
    hypertension or MI

    *Acute pain, especially


    associated with multiple
    types of arthritis

    * Most serious adverse effect is GI complaints and headache


    *May increase the risk of serious thrombotic events, MI, or stroke
    *May cause fluid retention
    *Associated with hepatotoxicity with long-term use

    Therapuetic Class:
    Analgesic, NSAID,
    antipyretic
    NSAIDS: COX 2-Inhibitors
    Celecoxib (Celebrex)
    Therapuetic Class:
    NSAID, Analgesic

    ANALGESICS
    Opiod Analgesics
    OPIOD
    ANALGESICS

    COMMON USES

    WHAT I NEED TO KNOW AS A BRAND NEW


    NURSE

    Tramadol (Ultram)

    *Indicated for the treatment of moderate


    to severe pain and chronic pain.

    * Adverse effects include drowsiness, dizziness, HA, nausea


    and vomiting, constipation.
    * Seizures have been reported in patients taking Tramadol.

    Hydromorphone
    hydrochloride
    (Dilaudid)

    *Moderate to severe pain


    *Moderate to severe pain requiring
    continuous analgesia for an extended
    period of time (new indication)

    *Tablet form available in extended-release, do not crush or


    break
    *Most serious adverse effects: Respiratory depression and
    bradycardia
    *May cause constipation
    *Commonly abused opiod
    * Overdose treatment Naloxone (Narcan

    Morphine Sulfate
    (Duramorph, MS
    Contin, DepoDur)

    *Indicated for symptomatic relief of


    moderate to severe pain
    *DOC for MI pain because it decreases
    the workload of the heart.
    *Preanesthetic
    *Epidural single-dose for extended pain
    relief

    *Most serious adverse effect: Respiratory depression,


    overdose can cause respiratory arrest.
    *Causes peripheral vasodilation which may result in
    orthostatic hypotension
    *May cause constipation, commonly severe with maintenance
    dose
    *Contraindicated in patients with GI obstruction, may mask
    gallbladder pain
    *Commonly abused opiod
    * Overdose treatment Naloxone (Narcan)

    Therapuetic Class:
    Opiod analgesic. Does
    not have abuse potential
    and is not a scheduled
    drug

    Merperidine (Demerol)

    Fentanyl (Duragesic,
    Sublimaze)

    Codeine

    Other Opiod
    Analgesics:
    Common examples: Vicodin,
    Lortab, Percodan, Percocet,
    Oxycontin

    *Indicated for moderate to severe pain


    * Pre-op sedation, adjunct to anesthesia.
    *Preferrred obstetric analgesic because
    it does not delay uterine contractions and
    causes less neonatal respiratory
    depression than other opiod narcotics.
    *Moderate to severe pain associated with
    pancreatitis
    *Option for patients allergic to Morphine
    *Short-acting analgesic indicated for
    moderate to severe pain and sedation.
    *Often used during operative and perioperative periods.
    *Adjunct to regional and general
    anesthesis
    *Management of moderate to severe
    chronic pain in patients who require
    around-the-clock opiod analgesics
    *Management of breakthrough pain
    associated with cancer
    *Indicated for mild to moderate pain
    *Frequently used antitussive and cough
    suppressant.

    Indicated for mild to moderate pain.

    * Adverse effects include drowsiness, dizziness, respiratory


    depression, constipation, nausea and vomiting.
    *Use with caution in elderly patients and patients with
    debilitating diseases.
    *Avoid in patients with hepatic or renal disease
    * Overdose treatment Naloxone (Narcan)

    * Available in patch form for chronic severe pain.


    * Adverse effects include: constipation, dizziness, euphoria,
    hypotension, bradycardia, respiratory depression, circulatory
    depression and cardiac arrest.
    * Overdose treatment Naloxone (Narcan)

    * Less analgesic and respiratory effects than other opiod


    narcotics..
    *Dose needed to suppress cough is low with minimal
    potential for abuse
    * Adverse effects include: dizziness, euphoria, drowsiness,
    constipation, hypotension, bradycardia and pruritis
    * Combination drugs combined with aspirin, acetominophen
    or an NSAID.
    * Adverse effects similar to those seen with Codeine and nonopiod analgesics.
    *Constipation
    *Monitor for hepatotoxicity in long-term use of
    acetaminophen combination forms

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