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Unit 4,5, And 6 > Ch 10- Analgesic Drugs > Flashcards

Ch 10- Analgesic Drugs Flashcards

1
Q

Medications that relieve pain without causing loss of consciousness are called what?

A

Analgesics

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2
Q

List some examples of subjective pain assessments.

A

Intensity, location, quality, alleviating factors, aggregating factors

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3
Q

List some examples of objective pain assessments.

A

Vital sign changes, positioning, behaviors, facial expression can be observed by others

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4
Q

When a drug reaches a maximum analgesic effect and do not improve with higher doses what is that called?

A

Analgesic ceiling effect

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5
Q

Opioids are used to treat what?

A

Severe pain

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6
Q

What are the receptors that opioids bind to in the brain?

A

Mu, kappa, delta

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7
Q

What are some actions of opioids?

A

Alters perception of pain, alters intestinal motility( any-diarrhea), suppress cough reflexes

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8
Q

What are the two biggest opioids used?

A

Fentanyl and dilauduid

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9
Q

What are some major adverse effects of opioids?

A

Constipation- slow GI motility
Respiratory depression
Nausea/ vomiting

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10
Q

What kind of conditions would you not give opioids to?

A

People with asthma, COPD, and sleep apnea

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11
Q

Opioids cause a histamine release in the body causing what to happen?

A

Arteries and veins dilate leading to flushing and hypotension

Will give allergy like symptoms

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12
Q

In case of an opioid overdose what could be given to counteract responses?

A

An opioid antagonist - Narcan

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13
Q

What are non opioid drugs used for?

A

Mild to moderate pain

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14
Q

What are some examples of drugs in the non opioid class?

A

Acetaminophen, Tremadol, lidocaine

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15
Q

What is the max amount of mg per day you can take of acetaminophen?

A

3000mg/day

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16
Q

What is the risk of taking Tremedol a non opioid drug with an SSRI?

A

Can increase seratonin levels leading to seratonin syndrome

17
Q

What is the most widely used non opioid analgesic?

A

Acetaminophen

18
Q

What is acetaminophen doing in the body?

A

Blocking pain impulses by inhibition

19
Q

What are NSAIDS?

A

Non steroidal anti inflammatory drugs

Non opioid analgesics

20
Q

Name some examples of NSAID class drugs.

A

Motrin, Aspirin, and COX-2 inhibitor

21
Q

What kind of drug causes Reyes Syndrome?

A

Aspirin (NSAID) non opioid analgesic

22
Q

For best results when treating someone with severe pain associated with pathological spinal fractures related to metastatic bone cancer medication should be administered in what type of dose?

A

Around the clock with additional doses as needed for breakthrough pain

23
Q

A patient is receiving pain medication through a PCA pump. During rounds a nurse found him unresponsive. What should the nurse do immediately?

A

Administer an opiate antagonist per standing order

24
Q

A patient with bone pain is receiving fetynal patches. The patient asks what benefits the patches have? The nurses best response is?

A

More constant drug levels for analgesia

25
Q

IV morphine is prescribed to a patient who just had surgery. The nurse informs the patient of what potential side effects?

A

Constipation, pruritus, and nausea

26
Q

Several patients have orders for acetaminophen. The nurse discovers one of the patients has a contradiction to acetaminophen. What kind of patient would need alternative medication?

A

A patient with severe hepatitis

27
Q

An opioid analgesic is prescribed for a patient. The nurse checks the medical history knowing the med is contradicted with what disorder?

A

Severe asthma

28
Q

A patient with renal cancer needs an opiate for pain control. What opioid medication would be safest?

A

Methadone

Unit 4,5, And 6 (6 decks)

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