Pain Meds Flashcards
Sublimaze
Another Name
Fentanyl
Fentanyl
Another Name
Sublimaze
Fentanyl (Sublimaze)
Class
Narcotic Analgesic
Fentanyl (Sublimaze)
Description
Potent synthetic narcotic analgesic similar to morphine and meperidine but with more rapid and less prolonged action
Fentanyl (Sublimize)
Indication
Induce sedation for endotracheal intubation, sever pain
Fentanyl (Sublimize)
Contraindications
MAO inhibitors within 14 days, myasthenia gravis
Fentanyl (Sublimize)
Precautions
Increased intracranial pressure, elderly, debilitated, COPD, respiratory problems, hepatic and renal insufficiency
Fentanyl (Sublimize)
Dose/Route
1-2 mcg slowly IV (2-3 min) max 200 mcg
Pedi: 0.5-1.0 mcg/kg slow IV/IM
Butorphanol
Another Name
Stadol
Stadol
Another Name
Butorphanol
Butorphanol (Stadol)
Class
Synthetic Narcotic Analgesic
Butorphanol (Stadol)
Description
Centrally acting synthetic narcotic analgesic about 5x more potent then morphine. Schedule IV narcotic
Butorphanol (Stadol)
Indications
Moderate to Severe pain
Butorphanol (Stadol)
Contraindications
Hypersensitivity, head injury, undiagnosed abdominal pain
Ketorolac
Another Name
Toradol
Toradol
Another Name
Ketorolac
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 or moderate pain
Ketorolac (Toradol)
Contraindications
Hypersensitivity to aspirin or other NSAIDs and asthma
Ketorolac (Toradol)
Precautions
Peptic ulcers, renal or hepatic impairment or elderly
Ketorolac (Toradol)
Dose/Route
30-60 mg IV/IM
Morphine
Another Name
Morphine Sulfate
Morphine Sulfate
Another Name
Morphine
Morphine Sulfate (Morphine) Class
Narcotic Analgesic
Morphine Sulfate (Morphine) Description
Potent analgesic and sedative that causes some vasodilation, reducing venous return, and reduced myocardial oxygen demand
Morphine Sulfate (Morphine) Indications
Moderate to severe pain and in ACS and to reduce venous return in pulmonary edema
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
Morphine Sulfate (Morphine) Precautions
Elderly, children, debilitated patients. Naloxone should be readily available to counteract effects
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
Nalbuphine
Another Name
Nabain
Nubain
Another Name
Nalbuphine
Nalbuphine (Nubain)
Class
Narcotic Analgesic
Nalbuphine (Nubain)
Description
Synthetic narcotic analgesic equivalent to morphine, respiratory depression does not increase with higher dose
Nalbuphine (Nubain)
Indication
Moderate to severe pain
Meperidine
Another Name
Demerol
Demerol
Another Name
Meperidine
Meperidine (Demerol)
Class
Narcotic Analgesic
Meperidine (Demerol)
Description
Synthetic narcotic with sedative and analgesic properties comparable to morphine but without hemodynamic side effects
Meperidine (Demerol)
Indications
Moderate to severe pain
Meperidine (Demerol)
Dose/Route
25-50 mg IV; 50-100 mg IM
Pedi: 1 mg/ kg IV/IM
Nitrous Oxide 50:50
Another Name
Nitronox
Nitronox
Another Name
Nitrous Oxide 50:50
Nitrous Oxide (Nitronox) Class
Gaseous analgesic and anesthetic
Nitrous Oxide (Nitronox) Description
Exact mechanism unknown, effects central nervous system phospholipids
Nitrous Oxide (Nitronox) Indications
Moderate to severe pain, anxiety, apprehension
Nitrous Oxide (Nitronox) Contraindication
Impaired level of consciousness, head injury, inability to follow or comply with instructions
Nitrous Oxide (Nitronox) Precautions
Drowsiness, respiratory depression, apnea, malignant hyperthermia
Nitrous Oxide (Nitronox) Dose/Route
Instruct pt to inhale deeply through demand valve and mask or mouthpiece
Pedi: same