Nacrotic analgesics Flashcards

1
Q

what are Phenantherene Opium Alkaloids

A

morphine

codiene

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

what are Semisynthetic Morphine Derivatives

A

Di-acetyl morphine (heroin)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what are Synthetic Morphine Substitutes

A

fentayl

meperdine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

what are Mixed Agonist-Antagonist Narcotic Analgesics

A

nubain (nalbuphine)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Talk about morphine absorption

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Talk about morphine distribution

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

what is the drug that treat neontal asphyxia

A

naloxane

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What does morphoine lead during pregency & labour

A

Preg : addicition

Labour : neontal asphyxia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Talk about codiene absorption

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Oral biovilability of morphine & codiene

A

morphibe :25-30

codiene : 50

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Talk about excretion & metabolism of morphine

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Talk about duration of morphine & codiene

A

morphine :6-8 hrs

codiene : 2-4 hrs

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what is percentage of opium at morphine & codiene

A

morphine :10

codiene : 1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what are opiate receptors and their causes

A

1

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

who lead to constipation at opoid receptorrs

A

muu & delta

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

What are affects of morphine on CNS

A

11

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what are effects of morphine peripheary

A

1

18
Q

Talk about tolerance of morphine

A

1

19
Q

What does histamine release lead to

A

skin: itching & triple affect

R.C :bronchospasm

20
Q

What does increase of A.D.H lead to

A

oligria

21
Q

Talk about affects of codiene

A

potent : anti-tussive

weaker than morphine

22
Q

what are therupatic uses of morphine

A

1

23
Q

what are therupatic uses of codiene

A

1

24
Q

what are drugs that are taken with codiene in visceral pain cases

A

asprin & paracetamol

25
Q

what are adverse affects of morphine

A

10

26
Q

what is the affect of large dose of morphine

A

decreasing vomiting center

27
Q

what is the affect of small dose of morphine

A

increasing C.T.Z : vomiting & nausea

28
Q

Talk about acute morphine poising

A

Manifestations
Death
Treatment

29
Q

What is the affect of pure O2

A

apnea

30
Q

what are the elements that used at stomach wash of mrophine

A

K-permengenate+charocal+MGSO4

31
Q

what is specific morphinic antagonist

A

naloxane

32
Q

Talk about chronic poisiong of morphine

A
Tolerance
Due to 
Addict
Sudden stop 
Managment
33
Q

What is the drug that is gradual substitutent for morphine

A

methadone

34
Q

Talk about contradictions of morphine

A
12:-
Head injury
Acute abdomen
Intra cranial tension
Pregnency & labour
Liver disease
Extreme age
Myxdema
Allergy 
History of addiction
Alone with colic
Respiratory diseaes
Eplipsey
35
Q

Talk about mepierdiene kinetics

A

50% orally bioavillability
Duration
Onset

36
Q

Talk about mepiderne dynamics

A
4 less
4 no
Local
Large dose
ADH
Atropine like
Drug interaction
Antagonized by naloxane
37
Q

Who is weaker than morphine by 1/5

A

codiene

38
Q

Who is lesser than morphine by 1/10

A

mepridene

39
Q

who is better than morphine at pre-anesthetic medication

A

mepridene

40
Q

Talk about therupatic uses of mepridene

A

Obestric anesthesia
Alone in colic
Pre anesthetic medication
Severe visceral

41
Q

example about CNS depressents

A

Benzodizpiens

42
Q

Talk about naloxane

A
Block actions
No effects on CNS depressents
Pure antagonists
selective on muu receptors
1 hour should be repeated
Therupatic uses : 3