Ortho Pain Management Flashcards
Use is Illegal/restricted to research. No accepted medical use. Hallucinogens, heroin, peyote, coca, mushrooms, Khat
schedule I
Requires a prescription. High abuse potential. Codeine, hydrocodone, hydromorphone, morphine, cocaine, fentanyl, methadone, meperidine
schedule II
Requires a prescription. Moderate abuse potential. Max 5 refills/6 mos. Verbal orders allowed. Benzphetamie, clortemine. Ketamine, pento/secobarbital, sulfomethane
schedule III
Requires prescription. Low abuse potential. Max 5 refills/6mo. Verbal orders allowed. Benzos and sedatives/hypnotics
Schedule IV
Requires a prescription or may be OTC with restrictions in some states. Low abuse potential. Currently accepted medical use in treatment. Includes Robitussin, pregabalin, lomotil, retigabine
schedule V
What is the difference between percocet and percodan?
Percodan has aspirin in it whereas percocet has tylenol
binds to opioid receptors and inhibits norepenephrine/serotonin reuptake. Caution with seizure hx and can cause serotonin syndrome
ultram (Tramadol)
For chronic pain in opioid tolerant patients ONLY. Major abuse potential. Schedule II
Fentanyl(Duragesic)
Black box warnings that pertain to all NSAIDs
cardiovascular risk, GI bleeding, kidney risk
Name the NSAIDs that belong to the acetic acid group which is good for management of arthritis associated with pain. reduce prostaglandin and thromboxane synthesis
diclofenac, etodolac, indomethacin, ketorolac
Name the NSAIDs that belong to the propionic acid group. COX 1 and COX 2 inhibitors
naproxen or ibuprofen
Name the COX 2 inhibitors. Used as adjunct with narcotics following total jt surgery.
celebrex
Patients with what allergy should NOT use celebrex?
sulfa
Length of recommended duration of prescription for muscle relaxants
not longer than 10-14 days
Byproduct of Carisoprodol (Soma) that is an anxiolytic
meprobamate