Pain Meds Flashcards
Fentanyl (Sublimaze)
Class
Narcotic analgesic
Fentanyl (Sublimaze)
Description
Potent synthetic narcotic analgesic similar to morphine and meperidine with a more rapid and less-prolonged action
Fentanyl (Sublimaze)
Indications
Induce sedation for endotracheal intubation, severe pain
Fentanyl (Sublimaze)
Contraindications
MAO inhibitors within 14 days, myasthenia gravis
Fentanyl (Sublimaze)
Precautions
Increased intracrainal pressure, elderly, dibilitated, COPD, respiratory problems, hepatic/renal insufficiency
Fentanyl (Sublimaze)
Dosage
Adult: 1-2 mcg/kg slow IV, Max initial dose 100mg (2-3min)
25mcg q 5mins, Max 200mcg
Severe burns: Max dose 300mcg
Ketorolac (Toradol)
Class
Nonsteroidal Anti-inflammatory Drug (NSAID)
Ketorolac (Toradol)
Description
Injectable NSAID that exhibits analgesic, anti-inflammatory, and antipyretic properties without sedative effects
Ketorolac (Toradol)
Indications
Mild to moderate pain, fever
Ketorolac (Toradol)
Contraindications
Hypersensitivity to asprin or NSAIDS, age<15, pregnant women, need for surgical intervention
Do not mix with Ibuprofen***
Ketorolac (Toradol)
Dosage
Adult only
15mg IV/IO/IM
Ketorolac (Toradol)
Precations
Peptic ulcers, elderly, renal/hepatic impairment
Morphine Sulfate (Morphine)
Class
Narcotic analgesic
Morphine Sulfate (Morphine)
Description
Potent analgesic and sedative that causes vasodilation, reduce renous return, and reduce myocardial oxygen demand
Morphine Sulfate (Morphine)
Indications
Moderate to severe pain, MI, reduce venous return in pulmonary edema
Morphine Sulfate (Morphine)
Contraindications
Hypersensitivity to opiates, undiagnosed head/abdominal injury, hypotension, volume depletion, acute bronchial asthma, COPD, severe respiratory depression, or pulmonary edema due to chamical inhalation
Morphine Sulfate (Morphine)
Precautions
Elderly, children, dibilataed.
Narcan readily available to counteract effects
Morphine Sulfate (Morphine)
Adult dose
0.1 mg/kg, Max dose 20mg
Severe burns: Max dose 50mg
Ketorolac
Pedi dose - pain
0.5 mg/kg IV/IO/IM, MAX 15mg
Fentanyl
Pedi dose
1-2 mcg/kg, Max initial dose 75mcg
0.5mcg/kg q 5mins, Max 150mcg
Morphine
Pedi dose
0.1mg/kg, Max dose 10mg