Induction Meds: Opioids Agonist-Antagonist - Pentazocine Flashcards

1
Q
A
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2
Q

How potent is Pentazocine?

A

1/5 as potent as Morphine

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3
Q

What receptors does pentazocine bind to?
What type of activity does it exhibit?

A
  • κ & δ receptor
    -Agonist effects with weak antagonist activity

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4
Q

How is Pentazocine excreted?

A

Glucuronide conjugates in the urine.

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5
Q

Which opioid agonist-antagonist crosses the placental barrier causing fetal depression?

A

Pentazocine

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6
Q

What is the chronic pain dose of Pentazocine?
What dose and route would be equivalent to Morphine 10mg?

A
  • 10 - 30mg IV or 50 mg PO
  • 20-30mg IM= 10mg Morphine

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7
Q

What is Pentazocine antagonized by?

A

Naloxone

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8
Q

What is the elimination 1/2 time of Pentazocine?

A

2 - 3 hours

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9
Q

What are the side effects of Pentazocine?

A
  • sedation
  • diaphoresis
  • dizziness
  • dysphoria (high doses)
  • increased HR, BP, PA bp, LVEDP

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10
Q

What is the epidural analgesia duration of Pentazocine?

A

Shorter duration < Morphine

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