Copyright 2013 Wolters Kluwer Health Lippincott Williams Wilkins Nursing

Copyright 2013 wolters kluwer health lippincott

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Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Nursing Considerations for Patients Receiving Salicylates Assessment: History and Examination Nursing Diagnoses Implementation With Rationale Evaluation
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Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Question Please answer the following statement as true or false. A person who does not respond to one salicylate may respond to a different one.
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Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Answer True. Rationale: Salicylates are some of the oldest anti- inflammatory drugs used. They were extracted from willow bark, poplar trees, and other plants by ancient peoples to treat fever, pain, and what we now call inflammation. They are generally available without prescription and are relatively nontoxic when used as directed. A person who does not respond to one salicylate may respond to a different one.
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Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Nonsteroidal Anti-inflammatory and Related Agents Propionic Acids Fenoprofen Ibuprofen Acetic Acids Declofenac Etodolac Fenamates Mefenamic acid Cyclooxygenase-2 Inhibitors Celecoxib
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Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins NSAIDs Provide strong anti-inflammatory and analgesic effects Sold over the counter, which may lead to abuse Therapeutic actions and indications Pharmacokinetics Contraindications and cautions Adverse effects Clinically important drug-to-drug interactions
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Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Prototype NSAIDs
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Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Acetaminophen Actions /Indications Acts directly on the thermoregulatory cells of the hypothalamus Not sure of the mechanism of action related to analgesic effects Used to treat pain and fever Treat pain and fever associated with a variety of conditions, including influenza Prophylaxis of children receiving diphtheria pertussis tetanus (DPT) immunizations Relief of musculoskeletal pain associated with arthritis
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Copyright © 2013 Wolters Kluwer Health | Lippincott Williams & Wilkins Acetaminophen (cont.) Pharmacokinetics Absorbed from GI tract Peak ½ to 2 hours Metabolized in the liver Excreted in the urine T ½ is about 2 hours Contraindications Known allergy Use with caution in pregnancy and lactation
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