pain meds

Question 1

name/class
butorphanol

Answer 1

stadol

synthetic narcotic analgesic

Question 2

name/class
stadol

Answer 2

butorphanol

synthetic narcotic analgesic

Question 3

description
butorphanol
stadol

Answer 3

Butorphanol is a centrally acting synthetic narcotic analgesic about 5 times more potent than morphine a schedule IV narcotic

Question 4

indications
butorphanol
stadol

Answer 4

moderate to severe pain

Question 5

contraindictions
butorphanol
stadol

Answer 5

hypersensitivity, head injury, or undiagnosed abdominal pain

Question 6

name/class
fentanyl

Answer 6

sublimaze

narcotic analgesic

Question 7

name/class
sublimaze

Answer 7

fentanyl

narcotic analgesic

Question 8

description
fentanyl
sublimaze

Answer 8

Fentanyl is a potent synthetic narcotic analgesic

Question 9

indications
fentanyl
sublimaze

Answer 9

Induce sedation for endotracheal intubation and severe pain

Question 10

contraindictions
fentanyl
sublimaze

Answer 10

MAO inhibitors within 14 days, myasthenia gravis

Question 11

precautions
fentanyl
sublimaze

Answer 11

increased ICP, elderly, debilitated, COPD, respiratory problems, hepatic and renal insufficiency

Question 12

dosage/route
fentanyl
sublimaze

Answer 12

25-100 mcg slowly IV(2-3 min) max of 200 mcg

Question 13

pedi dosage/route
fentanyl
sublimaze

Answer 13

2mcg/kg slow IV/IM

Question 14

name/class
ketorolac

Answer 14

Toradol

non steroidal anti inflammatory drug (NSAID)

Question 15

name/class
Toradol

Answer 15

ketorolac

non steroidal anti inflammatory drug (NSAID)

Question 16

description
ketorolac
toradol

Answer 16

Ketoroloc is an injectable NSAID that exhibits analgesic anti inflammatory and antipyretic properties without sedative effects

Question 17

indications
ketorolac
toradol

Answer 17

mild or moderate pain

Question 18

contraindictions
ketorolac
toradol

Answer 18

hypersensitivity to aspirin or other NSAIDS, and asthma

Question 19

precautions
ketorolac
toradol

Answer 19

peptic ulcers
renal or hepatic impairment
elderly

Question 20

dosage/route
ketorolac
toradol

Answer 20

30-60 mg IV/IM

Question 21

name/class
morphine sulfate

Answer 21

morphine

narcotic analgesic

Question 22

name/class
morphine

Answer 22

morphine sulfate

narcotic analgesic

Question 23

description
morphine sulfate
morphine

Answer 23

morphine sulfate is a potent analgesic and sedative that causes some vasodilation reducing venous return and reduced myocardial oxygen demand

Question 24

indications
morphine sulfate
morphine

Answer 24

moderate to severe pain and in MI and to reduce venous return in pulmonary edema

Question 25

contraindictions morphine sulfate morphine

Answer 25

hypersensitivity to opiates, undiagnosed head or abdominal injury, hypotension or volume depletion acute bronchial asthma, COPD, severe respiratory depression, or pulmonary edema due to chemical inhalation

Question 26

precautions morphine sulfate morphine

Answer 26

elderly, children, or debilitated patients. Naloxone should be readily available to counteract the effects of morphine

Question 27

pain dosage/route morphine sulfate morphine

Answer 27

2.5-15 mg IV; 5-20 mg IM subcutaneous

Question 28

pedi pain dosage/route morphine sulfate morphine

Answer 28

0.05 to 0.1 mg/kg IV

Question 29

AMI/PE dosage/route morphine sulfate morphine

Answer 29

1-2 mg/6-10 min to response

Question 30

``` name/class Nalbuphine ```

Answer 30

Nubain | narcotic analgesic

Question 31

``` name/class nubain ```

Answer 31

Nalbuphine | narcotic analgesic

Question 32

description nubain nalbuphine

Answer 32

Nalbuphine is a synthetic narcotic analgesic equivalent to morphine, though it's respiratory depression does not increase with higher doses

Question 33

indications nalbuphine nubain

Answer 33

moderate to severe pain

Question 34

``` name/class meperidine ```

Answer 34

demerol | narcotic analgesic

Question 35

``` name/class demerol ```

Answer 35

meperidine | narcotic analgesic

Question 36

description meperidine demerol

Answer 36

meperidine is a synthetic narcotic with sedative and analgesic properties comparable to morphine but without hemodynamic side effects

Question 37

indications meperidine demerol

Answer 37

moderate to sever pain

Question 38

dosage/route meperidine demerol

Answer 38

25-50 mg IV, 50-100 mg IM

Question 39

pedi dosage/route meperidine demerol

Answer 39

1mg/kg IV/IM

Question 40

``` name/class nitrous oxide 50:50 ```

Answer 40

nitronox | gaseous analgesic and anesthetic

Question 41

``` name/class nitronox ```

Answer 41

nitrous oxide 50:50 | gaseous analgesic and anesthetic

Question 42

description nitrous oxide 50:50 nitronox

Answer 42

exact mechanism unknown; affects central nervous system phospholipids

Question 43

indications nitrous oxide 50:50 nitronox

Answer 43

moderate to severe pain anxiety apprehension

Question 44

contraindictions nitrous oxide 50:50 nitronox

Answer 44

impaired level of consciousness, head injury, inability to follow or comply with instructions

Question 45

precautions/side effects nitrous oxide 50:50 nitronox

Answer 45

drowsiness respiratory depression apnea malignant hyperthermia

Question 46

dosage/route nitrous oxide 50:50 nitronox

Answer 46

instruct patient to inhale deeply through demand valve and mask or mouth piece

Question 47

pedi dosage/route nitrous oxide 50:50 nitronox

Answer 47

Same as adult | instruct patient to inhale deeply through demand valve and mask or mouth piece