Pharmacology

Card Set Information

Author:
amgomez
ID:
107204
Filename:
Pharmacology
Updated:
2011-10-08 01:08:07
Tags:
Pain Inflammation Drugs Contraindications
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Description:
Contraindications
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  1. What are some contraindications that would make taking the NSAIDs (COX-1 and COX-2 inhibitors) aspirin/acetylsalicylic acid (Aspirin) and ibuprofen (Advil, Motrin) risky for the patient?
    • Pregnancy (risk category D)
    • Hypersensitivity to aspirin and other NSAIDs
    • Peptic ulcer disease
    • Bleeding disorders (hemophilia, vitamin K deficiency)
    • Child or adolescent with chickenpox or influenza (especially aspirin)
    • Perioperative use prior to coronary artery bypass grafting (non-aspirin NSAIDs)
    • Within 1 week of any elective surgery (aspirin)
  2. What are some contraindications that would make taking the NSAID (COX-2 inhibitor) celecoxib (Celebrex) risky for the patient?
    • Pregnancy (risk category D [third trimester]; C in first and second trimesters); can cause premature closure of the ductus arteriosus
    • Severe hepatic impairment
    • Advanced renal disease
    • Child or adolescent younger than 18 years old
    • Gastrointestinal bleeding
    • Anemia
    • Pain from coronary artery bypass grafting
    • Allergy to sulfa, sulfonamides, celecoxib
  3. What are some contraindications that would make taking the opioid agonist-antagonist drugs butorphanol (Stadol) and pentazocine (Talwin) risky for the patient?
    • Acute myocardial infarction
    • Opioid dependence
  4. What is a contraindication that would make taking the drug acetaminophen (Tylenol) risky for the patient?
    Alcoholism
  5. What are some contraindications that would make taking the opioid agonist drugs, morphine and meperidine (Demerol) risky for the patient?
    • Pregnancy risk category D (long-term use, high doses, near term; otherwise C)
    • Renal failure
    • Increased intracranial pressure
    • Biliary colic
    • Preterm labor
  6. What are some contraindications that would make taking the centrally acting nonopioid drug tramadol (Ultram) risky for the patient?
    • Acute intoxication with alcohol, opioids, psychotropic drugs
    • Seizure disorders
    • Respiratory depression
    • Child or adolescent younger than 16 years old
  7. What are some contraindications that would make taking the opioid antagonist drug naloxone (Narcan) risky for the patient?
    • Opioid dependence
    • Respiratory depression due to nonopioid drugs
  8. What are some contraindications that would make taking the glucocorticoid drug prednisone (Deltasone) risky for the patient?
    • Recent live virus immunization
    • Systemic fungal infection
    • Cataracts
  9. What is a contraindication that would make taking the uricosuric drug allopurinol (Zyloprim) risky for the patient?
    What is a contraindication that would make taking the uricosuric drug allopurinol (Zyloprim) risky for the patient?

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