opiates Flashcards

1
Q

opiate action

A
  • kill pain by preventing the transmission of pain impulses in the brain rather than at source
  • they bind to the opoid receptors in the brain which blocsk the impulses
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2
Q

how does a strong analgesic enter the brain

A
  • they have to pass the blood brain barrier; a hydrophobic, non polar environement
    -analgesic properties depend on ;
    ability to move form the blood into the brain where lipid solubility is important
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3
Q

morphine

A
  • derived from poppy seed opoium
    0used in sever pain managment
    -can form dependence
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4
Q

codeine

A
  • derived from opium or
    METHYLATION reaction of morphine
  • ## used in cough medications and sthor term teratment of diarrhoera
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5
Q

diamorphine (heroine)

A
  • derived from ESTERIFICATIOn reaction of morphine
  • rapidly acting and most abused narcotic
  • high euphoric effects/high addiction/high addiction
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6
Q

effectiveness of opiate order

A

increasing analgesic, narcotic and side effects:

  1. codiene (least)
  2. morphine
  3. diamoprhine )most)
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7
Q

pain mangemant ladder order

A
  1. use mild analgesic
  2. use weak opiod
  3. use strong opiod
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8
Q

side effects of analgesics

A
  • constipation
  • supression of cough reflex
  • constriction in pupils
    -narcotic
    -addiction
    = crime and heroine addicts
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