Opioids Flashcards

0
Q

Opioid with shortest half life

A

Remifentanil

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1
Q

Opioid spectrum of use

A

Analgesic, antitussive, antidiarrheal

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2
Q

Opioid with longest half life

A

Buprenorphine

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3
Q

Mu opioid receptor function

A

Inhibition of respiration

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4
Q

Mu opioid receptor affinity

A

Endorphins

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5
Q

Delta opioid receptor function

A

Tolerance

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6
Q

Delta opioid receptor affinity

A

Enkephalins

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7
Q

Kappa opioid receptor function

A

Slowed GI transit

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8
Q

Kappa opioid receptor affinity

A

Dynorphin

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9
Q

Morphine effects

A

Miosis, Orthostatic hypotension, Respiratory depression, Pain relief, Histamine release, Increased ICP, Nausea, Euphoria

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10
Q

Morphine MOA

A

Mu receptor agonist

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11
Q

Fentanyl MOA

A

Mu receptor agonist

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12
Q

Most potent opioid (18000x)

A

Ohmefentanyl

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13
Q

Route of administration of Fentanyl

A

Transdermal or Lollipop

IV (anesthesia)

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14
Q

Meperidine MOA

A

Mu and Kappa receptor agonist

Muscarinic blockade

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15
Q

Pancreatitis pain relief DOC

A

Meperidine

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16
Q

Opioid analgesic that does not cause miosis or biliary spasm

A

Meperidine

17
Q

Strong agonist at mu opioid receptors
Binds NMDA receptors
Glutamate antagonist

A

Methadone MOA

18
Q

Opioid for Opioid withdrawal/dependence

A

Methadone (Methadone Maintenance Therapy)

19
Q

Hydrocodone MOA

A

Mu and Kappa opioid receptor agonist

20
Q

Hydrocodone side effect

A

Hypogonadism and hearing loss

21
Q

Full opioid agonist

A

Morphine, Fentanyl, Meperidine, Methadone

22
Q

Partial opioid agonist

A

Hydrocodone, Dextromethorphan

23
Q

Dextromethorphan MOA

A

Sigma receptor stimulation depredd medullary cough center

24
Dextromethorphan SimD
Codeine
25
Codeine indication
Cough
26
Weak opioid agonist
Propoxyphene
27
Opioid agonist that cause fatal cardiotoxicity hence withdrawn
Propoxyphene
28
Nalbuphine MOA
Kappa opioid receptor agonist | Mu opioid recetor ANTAgonist
29
Mixed agonist-antagonist opioid
Nalbuphine
30
Nalbuphine SimD
Buprenorphine, Butorphanol, Pentazocine
31
Opioid resistant to naloxone reversal
Nalbuphine
32
Opioid that decreases alcohol dependence
Buprenorphine
33
Opioid antagonist
Naloxone
34
Naloxone SimD
Naltrexone, Nalmefene
35
Side effect of Naloxone in opioid dependent patients
Abstinence syndrome
36
Tramadol MOA
Weak mu opioid receptor agonist | Inhibit uptake of NE and serotonin
37
Side effect/contraindication of Tramadol
Seizures
38
Tramadol SimD
Tapentadol
39
Opioid overdose
Pupillary constriction, Coma, Respiratory Depression