Opioids Flashcards

1
Q
A
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2
Q
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3
Q

Process of pain transmission:

First order neuron
Second order neuron
Third order neuron

A
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4
Q

Pain Modulation

Important site of modulation: ______

Inhibition pain occurs when (2):

Pain augmented by: (2)

A
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5
Q

MOA of opioids:

Type of receptor?

What 2 electrolytes affected?

A

There are four types of opioid receptors
1.) Mu (MOP)
2.) Delta (DOP)
3.) Kappa (KOP)
4.) ORL1 (NOP)

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6
Q

Pre-cursors for endogenous opioids:

Endorpins?
Enkephalins?
Dynorpins?

Also what receptors do each of those affect?

A
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7
Q

Mu 1?

Analgesia where?
HR?
Mental?
Abuse?
Eyes?
Temp?
Urine?

A
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8
Q

Compare Mu-1, Mu-2, Mu-3

A
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9
Q

Mu 2?

Analgesia where?
HR?
Mental?
Abuse?
Eyes?
Temp?
Urine? Bowels?

A
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10
Q

Kappa stimulation effects??
A, D,D,D,H

A
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10
Q

Mu 3

A
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10
Q

Opioid affect on

HR:
BP:
Myocardial function?

A
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11
Q

How do opioids affect ventilation?

A
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12
Q

How does opioid affect pupil?

What nerve?

A
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13
Q

How does opioid affect nausea?

Where does it affect? (2)

A
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14
Q
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15
Q

How does opioid contribute to urine retention??

_____ relaxation
_____ contraction

16
Q

How does opioids affect immune?

20
Q

Which opioids have active metabolite? (2)

Which one doesnt?

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Name some MAO inhibitors that can cause serotonin syndrome?
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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