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anti inflammatories.txt
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this subtance is the mediator of the inflammatory process
Prostaglandin
this enzyme aids in prostaglandin synthesis
COX (1&2)
Anti-inflammatory meds include:
asprin
NSAIDS
COX-2 NSAIDS
Glucocorticosteriods
what can be done to avoid drug interactions/ adverse effects?
Use alternate methods
dose alterations
use submax doses of multiple meds
COX enzyme --> prostaglandin synthesis --> mediation of inflammatory process
How does aspring work in this process?
asprin inhibits COX therefore decreasing inflammation
: pyretic
fever
Indications for asprin:
fever: anti-pyretic
pain: analgesic
anti-inflammatory
Anti-platelet: inhibits platelet COX enzyme
NSAIDS is a non-selective COX inhibitor therefore inhibits both COX-1 (good) and COX-2 (bad) enzymes.
what is the differnce between asprin and NSAIDS?
asprin is also an anti-platelet NSAIDS are not.
this anti-inflammatory drug may cause edema especially in patients with renal dysfunction and heart disease.
COX-1 inhibition --> decreased urine output --> fluid retention and edema
NSAIDS
COX-2 inhibitors were discontinued due to fatal cardiac effects. these included:
vioxx
celebrex
bextra
these drugs are potent anti-inflammatories:
cortisol/hydorcortisone
corticosteriods
these are naturally occurring anti-inflammatories from the adrenal cortex
cortisol/hydrocortisone
Indications for glucocorticosteriods:
RA
DJD
these drugs inhibit parts of the inflam process including:
capillary dialation
edema formation
leukocyte and macrophage migration to area
glucocorticosteroids
Author
BELISA78
ID
25805
Card Set
anti inflammatories.txt
Description
review of anitinflammatory drugs
Updated
2010-07-06T04:52:36Z
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