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NUR 2502 / NUR2502 Final Exam (Latest ):
Multidimensional Care III / MDC 3 - Rasmussen
Medication 1
Naproxen (Anaprox)
Class: NSAID, nonopioid analgesic
Purpose: Decreased pain (mild to moderate) and inflammation
Black Box Warning: GI bleeding, stroke
Rationale:
1. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting
cyclooxygenase (COX) enzymes, reducing prostaglandin synthesis.
2. The black box warning highlights the serious risks of gastrointestinal ulceration,
bleeding, and perforation, as well as an increased risk of thrombotic cardiovascular
events including stroke and myocardial infarction, particularly with long-term use or in
patients with cardiovascular risk factors.
Medication 2
Acetaminophen (Tylenol)
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Class: Nonopioid analgesic
Purpose: Pain, fever, headache, arthralgia, dental pain, dysmenorrhea, myalgia
Black Box Warning: Hepatotoxicity
Rationale:
1. Acetaminophen is a centrally acting analgesic and antipyretic with weak peripheral anti-
inflammatory effects.
2. The black box warning addresses the risk of severe liver injury, including acute liver
failure, which can occur with doses exceeding the recommended maximum (typically 4
grams per day in adults) or in individuals with underlying liver disease or concurrent
alcohol use.
Medication 3
Enoxaparin (Lovenox)
HIGH ALERT
Class: Anticoagulant, antithrombotic
Purpose: Prevention of DVT (deep vein thrombosis)
Black Box Warning: Lumbar puncture, epidural/spinal anesthesia, aneurysm, coagulopathy
Rationale:
1. Enoxaparin is a low molecular weight heparin (LMWH) that potentiates the inhibitory
effect of antithrombin III on factor Xa, preventing thrombus formation.
NUR 2502 / NUR2502 Final Exam (Latest ):
Multidimensional Care III / MDC 3 - Rasmussen
Medication 1
Naproxen (Anaprox)
Class: NSAID, nonopioid analgesic
Purpose: Decreased pain (mild to moderate) and inflammation
Black Box Warning: GI bleeding, stroke
Rationale:
1. Naproxen is a nonsteroidal anti-inflammatory drug (NSAID) that works by inhibiting
cyclooxygenase (COX) enzymes, reducing prostaglandin synthesis.
2. The black box warning highlights the serious risks of gastrointestinal ulceration,
bleeding, and perforation, as well as an increased risk of thrombotic cardiovascular
events including stroke and myocardial infarction, particularly with long-term use or in
patients with cardiovascular risk factors.
Medication 2
Acetaminophen (Tylenol)
, 2|Page
Class: Nonopioid analgesic
Purpose: Pain, fever, headache, arthralgia, dental pain, dysmenorrhea, myalgia
Black Box Warning: Hepatotoxicity
Rationale:
1. Acetaminophen is a centrally acting analgesic and antipyretic with weak peripheral anti-
inflammatory effects.
2. The black box warning addresses the risk of severe liver injury, including acute liver
failure, which can occur with doses exceeding the recommended maximum (typically 4
grams per day in adults) or in individuals with underlying liver disease or concurrent
alcohol use.
Medication 3
Enoxaparin (Lovenox)
HIGH ALERT
Class: Anticoagulant, antithrombotic
Purpose: Prevention of DVT (deep vein thrombosis)
Black Box Warning: Lumbar puncture, epidural/spinal anesthesia, aneurysm, coagulopathy
Rationale:
1. Enoxaparin is a low molecular weight heparin (LMWH) that potentiates the inhibitory
effect of antithrombin III on factor Xa, preventing thrombus formation.
