NSAIDS

Question 1

Indications

Answer 1

• mild to mod pain
• dysmenorrhea
• arthritis inflammation
• acute gout

Question 2

MOA

Answer 2

• block prostaglandin synthesis

- anti inflammatory!!!

Question 3

Contraindications

Answer 3

• CABG surgery
• GI problems (PVD)
• renal impairment

Question 4

Adverse effects (GI and GU)

Answer 4

• dyspepsia/heartburn
• epigastric pain
• nausea
• GI ulceration**
• increased risk of thrombotic events**
• nephrotoxicity**

Question 5

Nursing implications

Answer 5

• give food and water
• increase fluids**
• reports s/s of GI bleed (vomit and poop)
• dilute if IV
• do not exceed 3200mg daily

Question 6

Other names

Answer 6

• ibuprofen
• meloxicam (safety*, drowsy and dizzy)
• ketorolac (short term of 5 days*, severe bleeding, nephrotoxicity)
• selective cox 2 inhibitor: increased risk of MI and stroke