pain meds Flashcards
name/class butorphanol
stadol
synthetic narcotic analgesic
name/class stadol
butorphanol
synthetic narcotic analgesic
description
butorphanol
stadol
Butorphanol is a centrally acting synthetic narcotic analgesic about 5 times more potent than morphine a schedule IV narcotic
indications
butorphanol
stadol
moderate to severe pain
contraindictions
butorphanol
stadol
hypersensitivity, head injury, or undiagnosed abdominal pain
name/class fentanyl
sublimaze
narcotic analgesic
name/class sublimaze
fentanyl
narcotic analgesic
description
fentanyl
sublimaze
Fentanyl is a potent synthetic narcotic analgesic
indications
fentanyl
sublimaze
Induce sedation for endotracheal intubation and severe pain
contraindictions
fentanyl
sublimaze
MAO inhibitors within 14 days, myasthenia gravis
precautions
fentanyl
sublimaze
increased ICP, elderly, debilitated, COPD, respiratory problems, hepatic and renal insufficiency
dosage/route
fentanyl
sublimaze
25-100 mcg slowly IV(2-3 min) max of 200 mcg
pedi dosage/route
fentanyl
sublimaze
2mcg/kg slow IV/IM
name/class ketorolac
Toradol
non steroidal anti inflammatory drug (NSAID)
name/class Toradol
ketorolac
non steroidal anti inflammatory drug (NSAID)
description
ketorolac
toradol
Ketoroloc is an injectable NSAID that exhibits analgesic anti inflammatory and antipyretic properties without sedative effects
indications
ketorolac
toradol
mild or moderate pain
contraindictions
ketorolac
toradol
hypersensitivity to aspirin or other NSAIDS, and asthma
precautions
ketorolac
toradol
peptic ulcers
renal or hepatic impairment
elderly
dosage/route
ketorolac
toradol
30-60 mg IV/IM
name/class morphine sulfate
morphine
narcotic analgesic
name/class morphine
morphine sulfate
narcotic analgesic
description
morphine sulfate
morphine
morphine sulfate is a potent analgesic and sedative that causes some vasodilation reducing venous return and reduced myocardial oxygen demand
indications
morphine sulfate
morphine
moderate to severe pain and in MI and to reduce venous return in pulmonary edema
contraindictions
morphine sulfate
morphine
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
precautions
morphine sulfate
morphine
elderly, children, or debilitated patients. Naloxone should be readily available to counteract the effects of morphine
pain dosage/route
morphine sulfate
morphine
2.5-15 mg IV; 5-20 mg IM subcutaneous
pedi pain dosage/route
morphine sulfate
morphine
0.05 to 0.1 mg/kg IV
AMI/PE dosage/route
morphine sulfate
morphine
1-2 mg/6-10 min to response
name/class Nalbuphine
Nubain
narcotic analgesic
name/class nubain
Nalbuphine
narcotic analgesic
description
nubain
nalbuphine
Nalbuphine is a synthetic narcotic analgesic equivalent to morphine, though it’s respiratory depression does not increase with higher doses
indications
nalbuphine
nubain
moderate to severe pain
name/class meperidine
demerol
narcotic analgesic
name/class demerol
meperidine
narcotic analgesic
description
meperidine
demerol
meperidine is a synthetic narcotic with sedative and analgesic properties comparable to morphine but without hemodynamic side effects
indications
meperidine
demerol
moderate to sever pain
dosage/route
meperidine
demerol
25-50 mg IV, 50-100 mg IM
pedi dosage/route
meperidine
demerol
1mg/kg IV/IM
name/class nitrous oxide 50:50
nitronox
gaseous analgesic and anesthetic
name/class nitronox
nitrous oxide 50:50
gaseous analgesic and anesthetic
description
nitrous oxide 50:50
nitronox
exact mechanism unknown; affects central nervous system phospholipids
indications
nitrous oxide 50:50
nitronox
moderate to severe pain
anxiety
apprehension
contraindictions
nitrous oxide 50:50
nitronox
impaired level of consciousness, head injury, inability to follow or comply with instructions
precautions/side effects
nitrous oxide 50:50
nitronox
drowsiness
respiratory depression
apnea
malignant hyperthermia
dosage/route
nitrous oxide 50:50
nitronox
instruct patient to inhale deeply through demand valve and mask or mouth piece
pedi dosage/route
nitrous oxide 50:50
nitronox
Same as adult
instruct patient to inhale deeply through demand valve and mask or mouth piece