opiod pharmacolog Flashcards

1
Q

how long is one course of circulation

A

1 min

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2
Q

how do opiods work

A

Inhibit the release of pain transmitters at spinal cord and midbrain , modulate pain perception in higher centres

Alters the emotional perception of pain

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3
Q

what is potency

A

whether a drug is ‘strong’ or ‘weak’ relates to how well the drug binds to the receptor,
the binding affinity

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4
Q

opiod receptors?

A

MOP, KOP, DOP , NOP

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5
Q

WHAT is tolerance

A

Down regulation of the receptors with prolonged use
Need higher doses to achieve the same effect

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6
Q

what is dependance

A

psychological - craving, euphoria
Physical

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7
Q

when does opiod withdrawal start

A

within 24 hrs
lasts about 24 hrs

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8
Q

side effects of opiods

A
  • Respiratory Depression
    Sedation
    Nausea and Vomiting
    Constipation
    Itching
    Immune Suppression
    Endocrine Effects
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9
Q

what would you give for a morphine overdose

A

naloxone

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10
Q

Main side effect of opiate use

A

Constipation

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11
Q

Pain ladder

A

Mild pain
Moderate pain
Severe pain

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12
Q

What to do for a patient in opiate induced resp depression

A

Call for help
ABC
naloxone-IV
Titration to effect

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13
Q

Oral bioavailability for morphine

A

50%

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14
Q

Examples of medications used for mild pain

A

Ibuprofen
Naproxen

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15
Q

Medications you may give for moderate pain

A

Codeine
Tramadol

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16
Q

Medication you would give for severe pain

A

Morphine