Pain Mgmt Flashcards
Benzos are schedule?
IV
Ketamine is schedule?
III
Codeine/APAP is schedule?
III
Vicodin
Vicodin 5/500
Lorcet
Hydrocodone/APAP
10/650
Norco
5, 7.5, 10/325
Lortab
5, 7.5, 10/500
Hydrocodone/APAP is schedule?
III
Oxycodone/APAP is schedule?
II
Percocet
Oxycodone/APAP
many formulations
Percodan
Oxycodone/ASA
5/325
Ultram (Tramadol)
Acts as opioid and SNRI
Moderate strength, 1/10th strength of morphine
Hydromorphone (dilaudid)
High abuse potential
Schedule II
5x as strong as morphine
Merpiridine (Demerol)
Very sedative
Schedule II
1/10th strength of morphine
Fentanyl
Major abuse potential
For tolerant pts only
Schedule II
50 - 100x strength of morphine
Diclofenac, Etodolac, Indomethican, Ketorolac are which class of drug?
Acetic Acid NSAIDS
Effective for arthritis pain
Naproxen and ibuprofen are which class of NSAID?
Propionic acid NSAIDS
COX 1 and 2 inhibitors
GI issues, kidney
The COX2 inhibitor.
Celecoxib (Celebrex)
Celebrex contraindicated in person with which allergy?
Sulfa
Kenalog
Triamcinalone acetonide
Intraarticular steroid
Lasts for days to weeks
Carisoprodol (Soma)
Centrally acting skeletal muscle relaxant
Also acts as anxiolytic
Should not be used for more than 10-14 days
Cyclobenzaprine Hcl (Flexeril)
Similar to TCA’s
Relieves muscle spasm
onset in 1 hr, lasts up to 12
Anticholinergic
Only benzo approved to treat muscle spasm?
Diazepam (Valium)
Supresses muscle excitability
Methocarbamol (Robaxin)
MOA unknown
Taken 4 times per day for muscle relaxation
Antidepressants for fibromyalgia
Amitriptyline
Duloxetine (Cymbalta)
Other meds for fibromyalgia
Gabapentin
Pergabalin
Flexeril
Reflex Sympathetic Dystrophy
Disorder of the extrimities
Pain, swelling, limited ROM, skin changes
Elicited by injury, MI
Reflex Sympathetic Dystrophy
Capsaicin cream
Prednisone
NSAIDS
Propranolol
Naproxen can make people
Drowsy
