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Karen pharm Chapter 70

AB
aspirinexample of inhibiting cox 1 & 2
effects of COX 2pain and inflammation
effects of COX 1protect GI mucosa, help with clotting, promotes renal function
aspirin is extensively bound to thisalbumin
misoprotstoldrug which helps prevent aspirin from destory gastic mucosa
how aspirin affects kidneysdecreases GFR & renal blood flow
signs of salicylismtinnitus, sweating, headache & dizzinesss, acid / base disturbances
irreversible inhibitor of coxaspirin
contraindications to taking nsaidsPUD, bleeding disorders, i.e vitamin K deficiency, pregnancy, children
meds interacting with aspirinwarfarin, heparin, glucorticoids, alcohol, ibuprofen
inhibitiion of COX-1 causesgastric erosion, bleeding, renal impairment
inhibition of COX-2 causessuppression of inflammation, alleviation of pain, reduction of fever, protection against colorectal cancer
example of first generation nsaiddiclofenac
example of second generation nsaidcelecoxib
side effects of celecoxibdyspepsia, abd. pain, renal toxicity
contraindication to celecoxibsulfa allergy
acetaminophen mechanism of actioninhibits prostaglandin synthesis in CNS
adverse effecrts of acetaminophenhepatic toxicity
acute toxicity of acetaminophen symtpomsnausea, vomiting, diarrhea, sweating
treatment for acute acetaminophen toxcityacetylcysteine (Mucomyst)
examples of salicylatesaspirin, magnesium salicylate, sodium salicylate
examles of propionic acid derivatesketoprofen, flubiprofen, ketoproen, aproxen
example of second generation nsaidcelecoxib
examples of "other" nsaidsdiclofenac, indomethacin, piroxicam
example of salicylateArthropan
ibuprofen can causehypoglycemic
this nsaid has a longer half lifepiroxicam


Dr. Hyla Harvey
Marshall University Joan C. Edwards School of Medicine
Hurricane, WV

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