Opioids Flashcards
Process of pain transmission:
First order neuron
Second order neuron
Third order neuron
Pain Modulation
Important site of modulation: ______
Inhibition pain occurs when (2):
Pain augmented by: (2)
MOA of opioids:
Type of receptor?
What 2 electrolytes affected?
There are four types of opioid receptors
1.) Mu (MOP)
2.) Delta (DOP)
3.) Kappa (KOP)
4.) ORL1 (NOP)
Pre-cursors for endogenous opioids:
Endorpins?
Enkephalins?
Dynorpins?
Also what receptors do each of those affect?
Mu 1?
Analgesia where?
HR?
Mental?
Abuse?
Eyes?
Temp?
Urine?
Compare Mu-1, Mu-2, Mu-3
Mu 2?
Analgesia where?
HR?
Mental?
Abuse?
Eyes?
Temp?
Urine? Bowels?
Kappa stimulation effects??
A, D,D,D,H
Mu 3
Opioid affect on
HR:
BP:
Myocardial function?
How do opioids affect ventilation?
How does opioid affect pupil?
What nerve?
How does opioid affect nausea?
Where does it affect? (2)
How does opioid contribute to urine retention??
_____ relaxation
_____ contraction
How does opioids affect immune?
7
Which opioids have active metabolite? (2)
Which one doesnt?
Name some MAO inhibitors that can cause serotonin syndrome?
women vs men with morphine
In women, morphine is associated with a:
* Greater analgesic potency
* Slower onset of action
* Longer duration of action
* Lower post-operative opioid consumption