Comfort and Pain Meds part 2 Flashcards
What drug is a Non-Opioid Centrally Acting Analgesic dual mechanism agent?
Tramadol
What is the mech of action for Non-Opioid Centrally Acting Analgesic dual mechanism agent?
- weak MU agonist and also inhibits the re-uptake of norepinephrine and serotonin
- side effects similar to opioids
- not for pt’s with seizures
What are the common side effects for opioids?
- constipation: start pt on bowel regimen immediately (gentle stimulant lax. senna and stool softener like colace)
- N/V: antiemetics until tolerance develops (about a week)
- sedations: monitor regularly, at most risk 4 hours after leaving post anesthesia
- Resp depression
- Pruritus
When is opioid induced respiratory depression higher?
in opioid naive pt’s
-rare in opioid tolerant pt’s
Who is most at risk for respiratory depression?
- elderly
- underlying lung disease
- hx of sleep apnea
- on other CNS depressants
When is pruritus common and how is it managed?
- neuraxial (epidural, intrathecal)
- management involves low dose naloxone
What is the classic triad of opioid toxicity?
coma
resp. depression
pinpoint pupils
What are the types of non-opioids?
- acetylsalicyclic Acid
- acetaminophen
- ibuprofen
- naproxen sodium
What type of med is acetylsalicyclic Acid?
aspirin
-This is an antipyretic and NSAID
What type of med is acetaminophen?
tylenol
-This is an Antipyretic NOT an anti-inflammatory
What type of med is ibuprofen?
motrin
advil
-These are NSAIDs
What type of med is naproxen sodium?
aleve
-This is an NSAID
What are important side effects of aspirin?
increased risk for bleeding especially GI
What are the important side effects of NSAIDs?
GI problems (peptic ulcer)
renal insufficiency
hypertension
What are some problems with ketorolac toradol?
- injectable NSAID
- shot term (no longer than 5 days of use)
- GI bleed, stroke, MI, oliguria, hyperkalemia, prolonged bleeding
