Aspirin Med Cards

ACTIVE LEARNING TEMPLATE: Medication STUDENT NAME _____________________________________ Aspirin (acetylsalicylic acid, ASA) MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ NSAID, antiplatelet, antipyretic, nonopiod analgesic CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION Expected Pharmacological Action Produce analgesia and reduce inflammation and fever by inhibiting the production of prostaglandins. Decreasees platelet aggregation. Therapeutic Use Anaglesia. Reduction of fever. Decreased incidence of transient ischemic attacks and MI. Complications CNS: confusion, depression EENT: hearing loss, tinnitus GI: diarrhea, GI bleeding, heartburn, nausea, vomitting HEME: decreased blood iron level, thrombocytopenia RESP: Bronchospasm SKIN: ecchymosis, rash, urticaria Reyes Syndrome, Angioedema Medication Administration Reduce mild pain or fever Adults/adolescents: 325mg to 650mg Q4H, as needed; or 500mg Q3H, or 1,000mg Q6H. Max dose: 4,000mg daily Children 2-14: 10 to 15 mg/kg/dose Q4H, up to 80mg/kg/daily. Adult Rheumoatoid arthritis/osteoarthritis: 3g daily in divided doses. Reduce the risk of recurrent transient ischemic attacks/strokes: Adults 50 to 325mg once daily Reduce acute MI: Adults Initial: 160 to 325mg when MI suspected. Maintenance: 160-325mg daily for 30 days. Unstable angina: 75 to 325mg daily Reduce riks of death/MI in patients with chronic coronary artery disease- Adults: 162.5mg once daily Contraindications/Precautions Active bleeding or coagulation disorders; breastfeeding (continous high dose); fever, chickenpox or flu like symptoms in children and teens; current or recent GI bleed or ulcers; hypersentivity Interactions May increase the risk of bleeding with warfarin, heparin, heparin-like agents, thrombolytic agents, dipyridamole, ticlopidine, clopidogrel, tirofiban, or eptifibatide, although these agents are often used safelyin comination and sequence. Increase anticoagulant effeect and bleeding risk with arnica, chamomile,clove, feverferw, garlic, ginger, ginko. Panax ginseng and others. Evaluation of Medication Effectiveness Increase in blood pressure Increase in peripheral circulation Increase in urine output. ACTIVE LEARNING TEMPLATES Nursing Interventions Patients who have asthma, allergies and nasal polyps or who are allergic to tartrazine are at an increased risk for developing hypersentivity reactions. Pain: Assess pain and limitation of movement; note type, location and intensity before and at the peak after administration ( See Time/Action Profile). Fever: Asses fever and note associated signs (diaphoresis, tachycardia, malaise, chills) Client Education drink with full glass of water; remain upright for 15-30 min; report tinnitus, bleedijng gums, bruising, black tarry stools, long lasting fever (3+ days); avoid concurrent use of alcohol, do not exceed maximum dosage