NSAIDs on the NCLEX
Ibuprofen, naproxen, ketorolac, aspirin: GI bleeding, kidney effects, when to avoid.
NSAIDs are everyday meds with NCLEX-tested risks: GI bleeding, kidney effects, cardiac risk.
Common drugs
Ibuprofen, naproxen, ketorolac (IV/PO, limit 5 days), aspirin, celecoxib (COX-2 selective), diclofenac.
Side effects
GI ulceration and bleeding. AKI (especially in dehydrated patients or with ACE/ARB). HTN, fluid retention. Cardiac risk (especially COX-2). Premature closure of ductus arteriosus in 3rd trimester pregnancy.
Avoid in
Active GI bleed. Renal impairment. Late pregnancy. Concomitant anticoagulation (relative). Aspirin in children with viral illness (Reye's syndrome).
Patient teaching
Take with food. Watch for black tarry stools. Don't exceed dosing. Avoid alcohol.
Frequently asked
NSAIDs in HF?
Generally avoided, fluid retention worsens HF.
Aspirin in pediatrics?
Avoid in viral illness (Reye's). Used in Kawasaki disease specifically.
Quick check
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