Pain Meds

Question 1

Butorphanol

Name

Answer 1

Stadol

Question 2

Butorphanol

Class

Answer 2

Synthetic Narcotic Analgesic

Question 3

Butorphanol

Description

Answer 3

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

Question 4

Butorphanol

Indications

Answer 4

Moderate to severe pain

Question 5

Butorphanol

Contraindications

Answer 5

Hypersensitivity, head injury or undiagnosed abdominal pain

Question 6

Fentanyl

Name

Answer 6

Sublimaze

Question 7

Fentanyl

Class

Answer 7

Narcotic Analgesic

Question 8

Fentanyl

Description

Answer 8

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

Question 9

Fentanyl

Indications

Answer 9

Induce sedation for endotracheal intubation, severe pain

Question 10

Fentanyl

Contraindications

Answer 10

MAO inhibitors within 14 days, myasthenia gravis

Question 11

Fentanyl

Precautions

Answer 11

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

Question 12

Fentanyl

Dosage/Route

Answer 12

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

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

Question 13

Ketorolac

Name

Answer 13

Toradol

Question 14

Ketorolac

Class

Answer 14

Nonsteroidal Antiinflamatory Drug (NSAID)

Question 15

Ketorolac

Description

Answer 15

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

Question 16

Ketorolac

Indications

Answer 16

Mild or moderate pain

Question 17

Ketorolac

Contraindications

Answer 17

Hypersensitivity to aspirin or other NSAIDs and asthma

Question 18

Ketorolac

Precautions

Answer 18

Peptic Ulcers, renal or hepatic impairment, or elderly

Question 19

Ketorolac

Dosage/Route

Answer 19

30-60mg IV/IM

Question 20

Morphine Sulfate

Name

Answer 20

Morphine

Question 21

Morphine Sulfate

Class

Answer 21

Narcotic Analgesic

Question 22

Morphine Sulfate

Description

Answer 22

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

Question 23

Morphine Sulfate

Indications

Answer 23

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

Question 24

Morphine Sulfate

Contraindications

Answer 24

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

Question 25

Morphine Sulfate Precautions

Answer 25

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

Question 26

Morphine Sulfate Dosage/Route

Answer 26

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

Question 27

Nalbuphine Name

Answer 27

Nubain

Question 28

Nalbuphine Class

Answer 28

Narcotic Analgesic

Question 29

Nalbuphine Description

Answer 29

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

Question 30

Nalbuphine Indications

Answer 30

Moderate to severe pain

Question 31

Meperidine Name

Answer 31

Demerol

Question 32

Meperidine Class

Answer 32

Narcotic Analgesic

Question 33

Meperidine Description

Answer 33

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

Question 34

Meperidine Indications

Answer 34

Moderate to severe pain

Question 35

Nitrous Oxide 50:50 Name

Answer 35

Nitronox

Question 36

Nitrous Oxide 50:50 Class

Answer 36

Gaseous analgesic and anesthetic

Question 37

Nitrous Oxide 50:50 Description

Answer 37

Exact mechanism unknown; affects central nervous system phospholipids

Question 38

Nitrous Oxide 50:50 Indications

Answer 38

Moderate to severe pain, anxiety, apprehension

Question 39

Nitrous Oxide 50:50 Contraindications

Answer 39

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

Question 40

Nitrous Oxide 50:50 Precautions/Side effects

Answer 40

Drowsiness, respiratory depression, apnea, malignant hyperthermia

Question 41

Nitrous Oxide 50:50 Dosage/Route

Answer 41

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