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Pass Naplex Now Book II > Pain Management > Flashcards

Pain Management Flashcards

1
Q

Ofirmev

A

Acetaminophen IV

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2
Q

Narcan

  • Indication
  • Form
A

Naloxone

  • I: management of opioid overdose
  • Form: IV
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3
Q

MSIR

A

Morphine IR

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4
Q

Embeda

  • Caution:
A

ER morphine and naltrexone embed

  • Caution: avoid EtOH => speeds the release of morphine, which can lead to respiratory depression
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5
Q

Dilaudid

  • Potency compares to morphine
  • Forms
A

Hydromorphone

  • More potent than morphine with decrease histamine release and no active metabolites.
  • An option to morphine for pts w/ renal impairment
  • Forms: IM/SC/IV/PO/Suppository
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6
Q

Exalgo

  • Form
  • Frequency
A

Hydromorphine OROS ER

  • PO QD
  • Break into clumps if crushed or turns into a thick gel if mixed with liquid to defer pt from abuse
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7
Q

Zohydro

  • Form
  • Frequency
A

Hydrocodone ER

  • Do not crush/chew
  • PO BID
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8
Q

Roxicodone

A

Oxycodone

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9
Q

OxyContin

  • Frequency
A

Oxycodone

  • PO Q12H
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10
Q

Oxecta

  • Special about this drug
A

Oxycodone IR

  • Discourage abusers: breaks into chunks instead of a powder if crushed, turns into gel if mixed w/ liquid, and contains Na laurel sulfate, which irritates the nose if it’s snorted.
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11
Q

Opana

  • Form:
  • Frequency
A

Oxymorphone ER

  • F: IV, IM, SC, PO
  • Q12H
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12
Q

Demerol

  • Avoid
  • DDI
  • Forms
  • Max dose:
A

Meperidine

  • Avoid in renal insufficiency: increase chance of sz
  • DDI: MAOIs
  • Forms: IV/IM/SC/PO/Syrup
  • Max: 600mg/d due to SZ
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13
Q

Fentanyl

  • Potency
  • Safe in which population
  • Duration of action
  • DDI
A

Fentanyl

  • 100x potent than morphine. Has insignificant histamine release. Decrease sedation and constipation
  • Safe for pt w/ renal failure
  • Has quick onset and short duration of action
  • CYP3A4 substrate
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14
Q

Sublimaze

A

Fentanyl injection IV/IM

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15
Q

Lazanda

  • Indication
  • # s of spray in bottle:
A

Fentany nasal spray

  • Indication: breakthrough pain
  • each bottle contains 8 sprays
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16
Q

Actiq

A

Fentanyl lozenges - dissolves slowly in mouth

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17
Q

Abstral

A

Fentanyl SL tab

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18
Q

Subsys

A

Fentanyl SL srpay

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19
Q

Fentora

  • Direction to take:
A

Fentanyl buccal tab:

  • Buccal: place b/w the cheek and gums. Leave it there until it dissolves
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20
Q

Onsolis

A

Fentanyl buccal soluble film

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21
Q

Duragesic

  • Form
  • Frequency
  • Dispose
A

Fentanyl Patch

  • F: Q3D or Q72H
  • Dispose: fold and flush down the toilet
  • Remove prior to MRI
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22
Q

Diskets

  • Indication
  • High dose: 40mg
  • high dose can cause:
A

Methadone

Indication

  • Severe pain in opioid tolerance pts: 5, 10mg tab
  • Opioid dependence: 40mg for detox and maintenance tx of opioid addicted pts. Not FDA approved for pain

High dose:

  • Arrhythmia, respiratory depression
  • QT Prolongation
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23
Q

Vicodin

  • Max
A

Hydrocodone/APAP 5/300

  • Max 8 tabs
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24
Q

Vicodin ES

  • Max
A

Hydrocodone/APAP 7.5/300

  • Max: 6 tabs
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25
Q

Vicodin HP

  • Max
A

Hydrocodone/APAP 10/300

  • Max 6 tabs
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26
Q

Norco

A

Hydrocodone/APAP 5/325, 7.5/325, 10/325

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27
Q

Vicoprofen

A

Hydrocodone/ibuprofen 7.5/200

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28
Q

Tylenol + Codiene

#1:
#2
#3
#4
  • Black box
  • Indication
A 
#1: 300/7.5
#2:  300/15
#3:  300/30
#4:  300/60
  • Black box: do not use in kids after a tonsillectomy due to some deaths and serious ADEs
  • Codeine is a prodrug that converts into morphine by 2D6
  • Indication: mild to moderate pain
29
Q

Roxicet

A

Oxycodone + APAP: 5/325mg Q6H

30
Q

Percocet

Endocet

A

Oxycodone + APAP: Q4-6H

5/7.5/10 plus 325 mg

  • CS II
31
Q

Xartermis XR

A

Oxycodone + APAP: Q12H

  • Same as percocet/endocet
32
Q

Percodan

Endodan

A

Oxycodone + ASA: Q6H

  1. 88/325mg
  2. 44/325
33
Q

Butrans

  • MOA
  • Form and frequency
  • Indication
  • CS
A

Buprenorphine transdermal system

  • MOA: partial opioid agonist and antagonist
  • F: Patch change once a week
  • Indication: mod to severe pain
    Do not give w/ other opioid
  • CS: III
34
Q

Subutex

  • Indication
  • DEA
  • CS
A

Buprenorphine

  • Pain given 3-4x/d
  • Opioid addiction
  • Tx of opioid dependence
  • DEA # starts with X is required to dispense to treatment of opioid addiction. If rx for pain, do not need DEA w/ X
  • CS III
35
Q

Fioricet with codeine

  • Indication
  • Max
A

APAP + butalbital + caffeine + codeine
325/50/40/30

  • Indication: Tension or muscle contraction HA
  • Max: 6 tabs/d
36
Q

Fiorinal with codeine

  • Indication
  • Max
  • CS:
A

ASA + butalbital + caffeine + codeine
325/50/40/30

  • Indication: Tension or muscle contraction HA
  • Max: 6 tabs/d
  • CS III
37
Q

Vivitrol

  • Form
  • Indication
  • Dose
A

Naltrexone ER

  • Form: IM
  • Indication:
    Treat and prevent replace after detox
    EtOH dependence
  • Dose: 380mg ONCE a month IM injection
38
Q

Utram

  • Indication
  • Max dose
  • SEs
  • DDI
A

Tramadol

  • Indication: mod to severe pain
  • Max dose: 400mg/d in health pt; 300mg in elderly

SEs:

  • Dizziness, GI upset, *constipation
  • *Somnolence
  • Seizure

DDI
- MOAIs, SSRIs, SNRIs = may cause serotonin syndrome

39
Q

Ultracet

  • Duration of use
A
  1. 5 Tramadol + 325 APAP

- For short term 5 days

40
Q

Nucynta

  • Indication
  • Max dose
  • CS
  • SE
A

Tapentadol => similar to Tramadol

  • Indication: mod to severe pain in > 18 y.o
  • Max dose: 600mg/day
  • CS: II

SEs

  • Resp depression
  • CNS depression
  • Serotonin syndrome
  • Increase risk of SZ
41
Q

MS Contin

  • Frequency
  • Form
A

Morphine

  • Q8-12H
  • CR tab - don’t break or chew
    15, 30, 60, 100, 200mg
42
Q

Oramorph

  • Frequency
  • Form
A

Morphine

  • Q8-12H
  • CR tab - don’t break or chew
43
Q

Avinza

  • Frequency
A

Morphine ER

  • 24H: Opened and sprinkled on applesauce
44
Q

Kadian

  • Frequency
A

Morphine ER

  • 12- 24H: Opened and sprinkled on applesauce
45
Q

Embeda

  • Frequency
  • Avoid
A

Morphine ER

  • 12-24H: morphine pellets with an inner core of naltrexone
  • Avoid w/ EtOH = speed the release of morphine = CNS depression
46
Q

Roxanol

A

Morphine Soln

47
Q

RMS

A

Morphine suppository

48
Q

Lorcet

  • Dose
A

hydrocodone/APAP

  • 10/650mg
49
Q

Percolone

A

Oxycodone

50
Q

Xartemis XR

  • Dose
A

Oxycodone + APAP

  • Dose: 2 tab Q12H
51
Q

Pethidine

  • Avoid
A

Meperidine

  • Avoid in renal insufficiency: increase chance of sz
52
Q

Dolophine

  • Indication
  • High dose can cause
A

Methadone

Indication

  • Severe pain: in opioid tolerance pts: 5, 10mg tab
  • Opioid dependence: 40mg for detox and maintenance tx of opioid addicted pts. Not FDA approved for pain

High dose:
- Arrhythmia, respiratory depression

53
Q

Buprenex

  • MOA
  • Indication
  • CS
A

Buprenorphine injection

  • MOA: partial opioid agonist and antagonist. Do not give w/ other opioid
  • Mod to severe pain
  • CS: III
54
Q

Suboxone

  • Form
  • Dose/Indication
  • CS Category
A

Buprenophine/naloxone

  • Form: film
  • Dose/Indication
    Pain: given 3-4x/day
    Opioid addiction: QD

DEA # starts with X is required to dispense to treatment of opioid addiction. If rx for pain, do not need DEA w/ X

  • CS III
55
Q

Zubsolv

  • Form
  • Dose/Indication
  • CS Category
A

Buprenorphine/Naloxone

  • F: SL TAB
  • Dose/Indication
    Pain: given 3-4x/day
    Opioid addiction: QD

DEA # starts with X is required to dispense to treatment of opioid addiction. If rx for pain, do not need DEA w/ X

  • CS III
56
Q

Ultram

  • Max dose:
  • SEs
A

Tramadol

  • Max: 400mg/d due to seizure
    Age > 75: max 300mg/day
  • SEs: Anticholinergic, SZ, sedation
57
Q

Ryzolt

  • Frequency:
A

Tramadol

  • Frequency: QD
58
Q

Ultracet

A

Tramadol + APAP

59
Q

ReVia

  • Form:
  • Indication
A

Naltrexone

  • Form: PO QD
  • Indication:
    Treat and prevent replace after detox
    EtOH dependence
60
Q

Depade

  • Form:
  • Indication
A

Naltrexone

  • Form: PO QD
  • Indication:
    Treat and prevent replace after detox
    EtOH dependence
61
Q

Hysingla

  • Form
  • Frequency
A

Hydrocodone

  • ER
  • PO QD
62
Q

Targiniq

  • Frequency
A

Oxycodone + Naloxone ER

  • PO Q12H
63
Q

Bunavail

  • Form
  • Dose/Indication
A

Buprenorphine + naloxone

  • Form: Buccal film
  • Dose/Indication
    Pain: given 3-4x/day
    Opioid addiction: QD
64
Q

Evzio

  • Indication
  • Form
A

Naloxone

  • I: management of opioid overdose
  • Form: SC/IM auto-injector
65
Q

Relistor

  • Form
  • Indication
A

Methylnaltrexone

  • Form: SC
  • I: tx for opioid-induced constipation
66
Q

Movantik

  • Form
  • Indication:
  • CS
A

Naloxegol

  • Form: SC
  • I: tx for opioid-induced constipation
  • CS: II
67
Q

Campal

  • Indication
  • Dose/frequency
A

Acamprosate

  • I: Tx of EtOH dependance or alcoholism
    Decrease craving
  • Dose: 666mg PO TID
68
Q

Antabuse

  • Indication
  • Frequency
A

Disulfiram

  • I: Tx of EtOH dependance or alcoholism
  • D: PO QD
69
Q

Gralise

  • Indication
A

Gabapentin ER QD

  • I: post-herpetic neuralgia

Pass Naplex Now Book II (39 decks)

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