Pain Meds Flashcards

1
Q

Butorphanol

Name

A

Stadol

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2
Q

Butorphanol

Class

A

Synthetic Narcotic Analgesic

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3
Q

Butorphanol

Description

A

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

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4
Q

Butorphanol

Indications

A

Moderate to severe pain

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5
Q

Butorphanol

Contraindications

A

Hypersensitivity, head injury or undiagnosed abdominal pain

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6
Q

Fentanyl

Name

A

Sublimaze

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7
Q

Fentanyl

Class

A

Narcotic Analgesic

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8
Q

Fentanyl

Description

A

Fentanyl is a potent synthetic narcotic analgesic similar to morphine and meperidine but with a more rapid and less prolonged action

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9
Q

Fentanyl

Indications

A

Induce sedation for endotracheal intubation, severe pain

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10
Q

Fentanyl

Contraindications

A

MAO inhibitors within 14 days, myasthenia gravis

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11
Q

Fentanyl

Precautions

A

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

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12
Q

Fentanyl

Dosage/Route

A

1-2 mcg/KG slowly IV (2-3 minutes) Max of 200 mcg

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

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13
Q

Ketorolac

Name

A

Toradol

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14
Q

Ketorolac

Class

A

Nonsteroidal Antiinflamatory Drug (NSAID)

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15
Q

Ketorolac

Description

A

Ketorolac is an injectable NSAID that exhibits analgesic, antiinflamatory and antipyretic properties without sedative effects

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16
Q

Ketorolac

Indications

A

Mild or moderate pain

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17
Q

Ketorolac

Contraindications

A

Hypersensitivity to aspirin or other NSAIDs and asthma

18
Q

Ketorolac

Precautions

A

Peptic Ulcers, renal or hepatic impairment, or elderly

19
Q

Ketorolac

Dosage/Route

A

30-60mg IV/IM

20
Q

Morphine Sulfate

Name

A

Morphine

21
Q

Morphine Sulfate

Class

A

Narcotic Analgesic

22
Q

Morphine Sulfate

Description

A

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

23
Q

Morphine Sulfate

Indications

A

Moderate to severe pain and in ACS and to reduce venous return in pulmonary edema

24
Q

Morphine Sulfate

Contraindications

A

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

25
Q

Morphine Sulfate

Precautions

A

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

26
Q

Morphine Sulfate

Dosage/Route

A

Pain: 2.5-15mg IV; 5 to 20mg IM

Pedi: 0.05-0.1mg/kg IV

AMI or PE: 1-2 mg/ 6 to 10 min to response

27
Q

Nalbuphine

Name

A

Nubain

28
Q

Nalbuphine

Class

A

Narcotic Analgesic

29
Q

Nalbuphine

Description

A

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

30
Q

Nalbuphine

Indications

A

Moderate to severe pain

31
Q

Meperidine

Name

A

Demerol

32
Q

Meperidine

Class

A

Narcotic Analgesic

33
Q

Meperidine

Description

A

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

34
Q

Meperidine

Indications

A

Moderate to severe pain

35
Q

Nitrous Oxide 50:50

Name

A

Nitronox

36
Q

Nitrous Oxide 50:50

Class

A

Gaseous analgesic and anesthetic

37
Q

Nitrous Oxide 50:50

Description

A

Exact mechanism unknown; affects central nervous system phospholipids

38
Q

Nitrous Oxide 50:50

Indications

A

Moderate to severe pain, anxiety, apprehension

39
Q

Nitrous Oxide 50:50

Contraindications

A

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

40
Q

Nitrous Oxide 50:50

Precautions/Side effects

A

Drowsiness, respiratory depression, apnea, malignant hyperthermia

41
Q

Nitrous Oxide 50:50

Dosage/Route

A

instruct the patient to inhale deeply through demand valve and mask or mouthpiece

Pedi: instruct the patient to inhale deeply through demand valve and mask or mouthpiece