Opioids Flashcards
What are analgesics
Drugs that RELIEVE pain without causing LOC
What are the most effective pain relievers
Opioids
What is an opioid
Any drug that is similar to those of morphine
What should you know about opioid receptors
Different resceptors get effected differently
What are two examples of opioids
Morphine (strong), codeine (moderate, cough)
What can opioids produce
Pain relife, euphoria, sedation, respiratory depression, constipation
what type of drug is naloxone
Antagonists
What does nalozone do
Reversal of respiratory and CNS depression caused by OD of OPIOIDS
What does methylnaltrexone do
Reverse constipation from opioids
What are the pharmocologic actions of morphine
PAIN relief, RESP depression, CONSTIPATION, URINARY retention, ORTHOstatic hypotension, MIOSIS
What should you do if you pt has a RR=6
Ambo bag
How can you help treat constipation
Activity, fiver and fluids
What can the cough suppression from morphine lead to
Accumulation of secretions in the airway
What type of based meds are for cough remedies
Codeine and hydrocodone
Can you give antiemetics for emesis
Yes
What can morphine increase
Intracranial pressure
What should you avoid doing when on morphine
Hazardous activities
Is there tolerance and physical dependence with morphine
yes
What are some symptoms of abstinence syndrome
Yawning, rhinorrhea, sweating
What type of depressants have drug interactions with morphine
Benzos
What is the classic triad of morphine toxicity
Coma, respiratory depression, miosis
What is the treatment of morphine toxicity
Naloxone
How much stronger is fentanyl than morphine
100X
What is the most common route of fentanyl
Transdermal, theres also lollipops
What are two other opioids
Meperidine, methadone
What to know about meperidine
Short half-lifeW
When do you use methadone
Opioid addicts
What’s the common name for hydromorphone
Dilaudid
How much strong is hydromorphone compared to morphine
10X
What does codeine do in the body
Some converts to morphine in the liver
What’s the use of codeine
Pain and cough suppression
What is oxycodone
Long-acting analgesics
What is the most widely prescribed drug in the US
hydrocodone
What is tylenol-3
With codeine
What is NORCO
With hydrocodone
What type of dosing schedule is best for opioids
Fixed schedule, plus extra for breakthrough pain
What should you do when the doctor orders many different opiods
Ask which med seemed to work the best
Addiction is…
A behavior pattern
What is naltrexone
Opioid antagonist, prevents euphoria
What is a nonopioid centrally acting analgesic and what does it increase
Tramadol, suicide risk
