opiod pharmacolog Flashcards
how long is one course of circulation
1 min
how do opiods work
Inhibit the release of pain transmitters at spinal cord and midbrain , modulate pain perception in higher centres
Alters the emotional perception of pain
what is potency
whether a drug is ‘strong’ or ‘weak’ relates to how well the drug binds to the receptor,
the binding affinity
opiod receptors?
MOP, KOP, DOP , NOP
WHAT is tolerance
Down regulation of the receptors with prolonged use
Need higher doses to achieve the same effect
what is dependance
psychological - craving, euphoria
Physical
when does opiod withdrawal start
within 24 hrs
lasts about 24 hrs
side effects of opiods
- Respiratory Depression
Sedation
Nausea and Vomiting
Constipation
Itching
Immune Suppression
Endocrine Effects
what would you give for a morphine overdose
naloxone
Main side effect of opiate use
Constipation
Pain ladder
Mild pain
Moderate pain
Severe pain
What to do for a patient in opiate induced resp depression
Call for help
ABC
naloxone-IV
Titration to effect
Oral bioavailability for morphine
50%
Examples of medications used for mild pain
Ibuprofen
Naproxen
Medications you may give for moderate pain
Codeine
Tramadol