Ortho Pain Management Flashcards

1
Q

Use is Illegal/restricted to research. No accepted medical use. Hallucinogens, heroin, peyote, coca, mushrooms, Khat

A

schedule I

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2
Q

Requires a prescription. High abuse potential. Codeine, hydrocodone, hydromorphone, morphine, cocaine, fentanyl, methadone, meperidine

A

schedule II

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3
Q

Requires a prescription. Moderate abuse potential. Max 5 refills/6 mos. Verbal orders allowed. Benzphetamie, clortemine. Ketamine, pento/secobarbital, sulfomethane

A

schedule III

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4
Q

Requires prescription. Low abuse potential. Max 5 refills/6mo. Verbal orders allowed. Benzos and sedatives/hypnotics

A

Schedule IV

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5
Q

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

A

schedule V

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6
Q

What is the difference between percocet and percodan?

A

Percodan has aspirin in it whereas percocet has tylenol

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7
Q

binds to opioid receptors and inhibits norepenephrine/serotonin reuptake. Caution with seizure hx and can cause serotonin syndrome

A

ultram (Tramadol)

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8
Q

For chronic pain in opioid tolerant patients ONLY. Major abuse potential. Schedule II

A

Fentanyl(Duragesic)

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9
Q

Black box warnings that pertain to all NSAIDs

A

cardiovascular risk, GI bleeding, kidney risk

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10
Q

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

A

diclofenac, etodolac, indomethacin, ketorolac

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11
Q

Name the NSAIDs that belong to the propionic acid group. COX 1 and COX 2 inhibitors

A

naproxen or ibuprofen

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12
Q

Name the COX 2 inhibitors. Used as adjunct with narcotics following total jt surgery.

A

celebrex

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13
Q

Patients with what allergy should NOT use celebrex?

A

sulfa

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14
Q

Length of recommended duration of prescription for muscle relaxants

A

not longer than 10-14 days

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15
Q

Byproduct of Carisoprodol (Soma) that is an anxiolytic

A

meprobamate

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16
Q

Precaution of Carisoprodol (Soma)

A

seizures

17
Q

Relieves skeletal muscle spasm. Similar to TCAs. Has anticholinergic effect.

A

Cyclobebenzaprine (Flexeril)

18
Q

What drug class should cyclobenzaprine (flexeril) not be used with?

A

MAOIs

19
Q

depresses muscle excitability indirectly by potentiating the effects of synaptic inhibition medication by GABA. Only benzo approved for muscle spasm

A

diazepam (valium)

20
Q

Can be prescribed for grade II ankle sprain in addition to NSAIDs

A

vicodin

21
Q

Antidepressants that can be considered for treatment of fibromyalgia

A

amitriptyline or duloxetine (Cymbalta)

22
Q

Anticonvulsants that can be considered for treatment of fibromyalgia

A

gabapentin or pregabalin