Opiods

Question 1

Opioids

Answer 1

Reduce pain by blocking pain signals

Question 2

Tolerance

Answer 2

more med needed to have same effect overtime

Question 3

AEs

Answer 3

-constipation (decreased gi mobility)
- Urine retention
-pinpoint pupils
-low bp, hr
-respiratory depression
-allergies
-nausea

Question 4

NSAID with narcotic

Answer 4

better pain control with fewer adverse effects

Question 5

PCA Pumps

Answer 5

PATIENT controlled analgesia

Question 6

Epidural

Answer 6

-keep dressing intact
-monitor pt
-contradicts w/ bleeding disorders

Question 7

Morphine Sulfate (opioid agonist)

Answer 7

-fentanyl, codeine, hydrocodone, tramadol

-High alert and BB: can’t be given w/ other CNS depressant
-IV push over 5 min

Question 8

Butorphanol (agonist-antagonist)

Answer 8

BBW: Respiratory Depression (<12 resp/min)

Less abuse potential

May be given in labor

Question 9

Naloxone

Answer 9

anatgonist
reverses opioids

Question 10

ceiling effect

Answer 10

limit to amount that can safely be given

Question 11

chronic pain, neuropathic pain

Answer 11

-Anticonvulsants/analgesics– ↓ number of pain sensations sent peripherally

-Anti-hypertensive -prevent pain signal transmission to CNS (blocks pain)

-Anti-depressants: ↑ effect of serotonin/norepinephrine in CNS

Question 12

Schedule III:

Answer 12

combinations w/ codeine

Question 13

Complications with opioid use

Answer 13

-addiction
-tolerance
-physical dependance (withdrawl)

Question 14

methadone

Answer 14

substituted for opioid
Opioid agonist