pain meds Flashcards

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1
Q
name/class
butorphanol
A

stadol

synthetic narcotic analgesic

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2
Q
name/class
stadol
A

butorphanol

synthetic narcotic analgesic

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3
Q

description
butorphanol
stadol

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

indications
butorphanol
stadol

A

moderate to severe pain

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5
Q

contraindictions
butorphanol
stadol

A

hypersensitivity, head injury, or undiagnosed abdominal pain

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6
Q
name/class
fentanyl
A

sublimaze

narcotic analgesic

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7
Q
name/class
sublimaze
A

fentanyl

narcotic analgesic

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8
Q

description
fentanyl
sublimaze

A

Fentanyl is a potent synthetic narcotic analgesic

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9
Q

indications
fentanyl
sublimaze

A

Induce sedation for endotracheal intubation and severe pain

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10
Q

contraindictions
fentanyl
sublimaze

A

MAO inhibitors within 14 days, myasthenia gravis

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11
Q

precautions
fentanyl
sublimaze

A

increased ICP, elderly, debilitated, COPD, respiratory problems, hepatic and renal insufficiency

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12
Q

dosage/route
fentanyl
sublimaze

A

25-100 mcg slowly IV(2-3 min) max of 200 mcg

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13
Q

pedi dosage/route
fentanyl
sublimaze

A

2mcg/kg slow IV/IM

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14
Q
name/class
ketorolac
A

Toradol

non steroidal anti inflammatory drug (NSAID)

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15
Q
name/class
Toradol
A

ketorolac

non steroidal anti inflammatory drug (NSAID)

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16
Q

description
ketorolac
toradol

A

Ketoroloc is an injectable NSAID that exhibits analgesic anti inflammatory and antipyretic properties without sedative effects

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17
Q

indications
ketorolac
toradol

A

mild or moderate pain

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18
Q

contraindictions
ketorolac
toradol

A

hypersensitivity to aspirin or other NSAIDS, and asthma

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19
Q

precautions
ketorolac
toradol

A

peptic ulcers
renal or hepatic impairment
elderly

20
Q

dosage/route
ketorolac
toradol

A

30-60 mg IV/IM

21
Q
name/class
morphine sulfate
A

morphine

narcotic analgesic

22
Q
name/class
morphine
A

morphine sulfate

narcotic analgesic

23
Q

description
morphine sulfate
morphine

A

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

24
Q

indications
morphine sulfate
morphine

A

moderate to severe pain and in MI and to reduce venous return in pulmonary edema

25
Q

contraindictions
morphine sulfate
morphine

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

26
Q

precautions
morphine sulfate
morphine

A

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

27
Q

pain dosage/route
morphine sulfate
morphine

A

2.5-15 mg IV; 5-20 mg IM subcutaneous

28
Q

pedi pain dosage/route
morphine sulfate
morphine

A

0.05 to 0.1 mg/kg IV

29
Q

AMI/PE dosage/route
morphine sulfate
morphine

A

1-2 mg/6-10 min to response

30
Q
name/class
Nalbuphine
A

Nubain

narcotic analgesic

31
Q
name/class
nubain
A

Nalbuphine

narcotic analgesic

32
Q

description
nubain
nalbuphine

A

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

33
Q

indications
nalbuphine
nubain

A

moderate to severe pain

34
Q
name/class
meperidine
A

demerol

narcotic analgesic

35
Q
name/class
demerol
A

meperidine

narcotic analgesic

36
Q

description
meperidine
demerol

A

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

37
Q

indications
meperidine
demerol

A

moderate to sever pain

38
Q

dosage/route
meperidine
demerol

A

25-50 mg IV, 50-100 mg IM

39
Q

pedi dosage/route
meperidine
demerol

A

1mg/kg IV/IM

40
Q
name/class
nitrous oxide 50:50
A

nitronox

gaseous analgesic and anesthetic

41
Q
name/class
nitronox
A

nitrous oxide 50:50

gaseous analgesic and anesthetic

42
Q

description
nitrous oxide 50:50
nitronox

A

exact mechanism unknown; affects central nervous system phospholipids

43
Q

indications
nitrous oxide 50:50
nitronox

A

moderate to severe pain
anxiety
apprehension

44
Q

contraindictions
nitrous oxide 50:50
nitronox

A

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

45
Q

precautions/side effects
nitrous oxide 50:50
nitronox

A

drowsiness
respiratory depression
apnea
malignant hyperthermia

46
Q

dosage/route
nitrous oxide 50:50
nitronox

A

instruct patient to inhale deeply through demand valve and mask or mouth piece

47
Q

pedi dosage/route
nitrous oxide 50:50
nitronox

A

Same as adult

instruct patient to inhale deeply through demand valve and mask or mouth piece