Pain Meds Flashcards

0
Q

Sublimaze

Another Name

A

Fentanyl

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1
Q

Fentanyl

Another Name

A

Sublimaze

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2
Q

Fentanyl (Sublimaze)

Class

A

Narcotic Analgesic

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3
Q

Fentanyl (Sublimaze)

Description

A

Potent synthetic narcotic analgesic similar to morphine and meperidine but with more rapid and less prolonged action

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4
Q

Fentanyl (Sublimize)

Indication

A

Induce sedation for endotracheal intubation, sever pain

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5
Q

Fentanyl (Sublimize)

Contraindications

A

MAO inhibitors within 14 days, myasthenia gravis

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6
Q

Fentanyl (Sublimize)

Precautions

A

Increased intracranial pressure, elderly, debilitated, COPD, respiratory problems, hepatic and renal insufficiency

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7
Q

Fentanyl (Sublimize)

Dose/Route

A

1-2 mcg slowly IV (2-3 min) max 200 mcg

Pedi: 0.5-1.0 mcg/kg slow IV/IM

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8
Q

Butorphanol

Another Name

A

Stadol

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9
Q

Stadol

Another Name

A

Butorphanol

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10
Q

Butorphanol (Stadol)

Class

A

Synthetic Narcotic Analgesic

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11
Q

Butorphanol (Stadol)

Description

A

Centrally acting synthetic narcotic analgesic about 5x more potent then morphine. Schedule IV narcotic

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12
Q

Butorphanol (Stadol)

Indications

A

Moderate to Severe pain

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13
Q

Butorphanol (Stadol)

Contraindications

A

Hypersensitivity, head injury, undiagnosed abdominal pain

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14
Q

Ketorolac

Another Name

A

Toradol

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15
Q

Toradol

Another Name

A

Ketorolac

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16
Q

Ketorolac (Toradol)

Class

A

Nonsteroidal Anti-inflammatory Drug (NSAID)

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17
Q

Ketorolac (Toradol)

Description

A

Injectable NSAID that exhibits analgesic, anti-inflammatory and antipyretic properties without sedative effects

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18
Q

Ketorolac (Toradol)

Indications

A

Mild or moderate pain

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19
Q

Ketorolac (Toradol)

Contraindications

A

Hypersensitivity to aspirin or other NSAIDs and asthma

20
Q

Ketorolac (Toradol)

Precautions

A

Peptic ulcers, renal or hepatic impairment or elderly

21
Q

Ketorolac (Toradol)

Dose/Route

A

30-60 mg IV/IM

22
Q

Morphine

Another Name

A

Morphine Sulfate

23
Q

Morphine Sulfate

Another Name

24
``` Morphine Sulfate (Morphine) Class ```
Narcotic Analgesic
25
``` Morphine Sulfate (Morphine) Description ```
Potent analgesic and sedative that causes some vasodilation, reducing venous return, and reduced myocardial oxygen demand
26
``` Morphine Sulfate (Morphine) Indications ```
Moderate to severe pain and in ACS and to reduce venous return in pulmonary edema
27
``` Morphine Sulfate (Morphine) Contraindications ```
Hypersensitivity to opiates, undiagnosed head or abdominal injury, hypotension, volume depletion, acute bronchial asthma, COPD, severe respiratory depression, pulmonary edema due to chemical inhalation
28
``` Morphine Sulfate (Morphine) Precautions ```
Elderly, children, debilitated patients. Naloxone should be readily available to counteract effects
29
``` Morphine Sulfate (Morphine) Dose/Route ```
Pain: 2.5-15 mg IV; 5-20 mg IM/SQ Pedi: 0.05-0.1 mg/kg IV AMI or PE: 1-2 mg/ 6-10 min to response
30
Nalbuphine | Another Name
Nabain
31
Nubain | Another Name
Nalbuphine
32
Nalbuphine (Nubain) | Class
Narcotic Analgesic
33
Nalbuphine (Nubain) | Description
Synthetic narcotic analgesic equivalent to morphine, respiratory depression does not increase with higher dose
34
Nalbuphine (Nubain) | Indication
Moderate to severe pain
35
Meperidine | Another Name
Demerol
36
Demerol | Another Name
Meperidine
37
Meperidine (Demerol) | Class
Narcotic Analgesic
38
Meperidine (Demerol) | Description
Synthetic narcotic with sedative and analgesic properties comparable to morphine but without hemodynamic side effects
39
Meperidine (Demerol) | Indications
Moderate to severe pain
40
Meperidine (Demerol) | Dose/Route
25-50 mg IV; 50-100 mg IM | Pedi: 1 mg/ kg IV/IM
41
Nitrous Oxide 50:50 | Another Name
Nitronox
42
Nitronox | Another Name
Nitrous Oxide 50:50
43
``` Nitrous Oxide (Nitronox) Class ```
Gaseous analgesic and anesthetic
44
``` Nitrous Oxide (Nitronox) Description ```
Exact mechanism unknown, effects central nervous system phospholipids
45
``` Nitrous Oxide (Nitronox) Indications ```
Moderate to severe pain, anxiety, apprehension
46
``` Nitrous Oxide (Nitronox) Contraindication ```
Impaired level of consciousness, head injury, inability to follow or comply with instructions
47
``` Nitrous Oxide (Nitronox) Precautions ```
Drowsiness, respiratory depression, apnea, malignant hyperthermia
48
``` Nitrous Oxide (Nitronox) Dose/Route ```
Instruct pt to inhale deeply through demand valve and mask or mouthpiece Pedi: same