Pain management

Question 1

Analgesics

Answer 1

meds that relieve pain w/o loss of consciousness

Question 2

adjuvant drugs

Answer 2

assist primary drugs in relieving pain 
NSAIDs 
antidepresseants 
anticonvulsants 
corticosteroids

Question 3

Opioids

Answer 3

bind to opiate receptors to relieve pain
Mereridine no long term use - seizures
I - pain, cough suppressant, diarrhea, balanced anesthesia
C - allergy, respiratory depression, elevated intercranial nerve pressure, prego & constipation
AE - CNS depression, NV, itching
I - Alcohol, antihistamines, benzos, MAOI
antidote - Narcan or naltrexone resp below 12

Question 4

Agonists

Answer 4

bind to opioid pain receptor in brain

Question 5

Agonist-antagonist

Answer 5

safer

bind to pain receptor, weaker neurological response

Question 6

antagonists

Answer 6

reverse the effects

Question 7

Equianalgesic

Answer 7

equlivant pain relief

Question 8

Fentanyl

Answer 8

0.1 iv = 10mg morphine

schedule 2

Question 9

Dilaudid (hydromorphine)

Answer 9

schedule 2

1mg iv = 10mg of morphine

Question 10

Methadone Hydrochloride (Dolophine)

Answer 10

schedule 2

detoxification treatment for opioid addicts

Question 11

Codeine Sulfate

Answer 11

schedule 2
obtained from opium
antiussive drug
GI disturbance

Question 12

Morphine Sulfate

Answer 12

protoype for all drugs
high abuse potential
do not give to pple w/head injury
natural - opium poppy

Question 13

Naloxone Hydrochloride ( Narcan)

Answer 13

pure opioid antagonist

failure to reverse effects may mean its not an opioid overdose

Question 14

Acetaminophen ( Tylenol)

Answer 14

Analegesic and antipyretic, no antinflammatory
blocks pain impulses 
no more than 3000mg/day 
possible liver dysfunction and failure 
antidote: Acetylcysteine regimen

Question 15

General, local and balanced anesthesia

Answer 15

g- complete loss of consciousness
l- no paralysis of respiratory functions. end in “caine”, and be careful of ‘spinal headache’
b - mixing drugs to give safer dose

Question 16

anesthetics

Answer 16

drugs that reduce or elimate pain by depressing nerve function
AE - malignant hyperthermia - 104 degrees temp

Question 17

general anesthetics

Answer 17

Ketamine, nitrous oxide, Propofol ( diprivan)

Question 18

Paralysis

Answer 18

autonomic activity is lost first, then pain and other sensory functions are lost, then motor activity is lost,
recovery occurs in reserve order (motor, sensory, autonomic)

Question 19

NSAIDS

Answer 19

A4 properties analgesic, antinflam, antipyr, aspirin-plalete inhibition
do not give to pple w/ vitam K deficiency, or peptic ulcer disease, or aspirin allergy

Question 20

Aspirin

Answer 20

Salicylates - do not give to children or teens because of Reyes syndrome
administer first sign of MI
Reyes syndrome triggered by viral illness

Question 21

Gout

Answer 21

urin acid build up