pain mngmnt Flashcards
narcotic examples
most are used also w/ acetaminophen codeine hydrocodone oxycodone ultram dilaudid fentanyl meperidine
Schedule 1 drugs
no accepted medical use highly potential for abuse illegal/restricted hallucinogens peyote heroin coca Psilocybin Mushrooms Catha Edulis (Khat)
Schedule 2
requires prescription high potential for abuse no refills or verbal orders codeine hydrocodone hydromorphone morphine cocaine fentanyl methadone meperidine
schedule 3 drugs
requires prescription moderate abuse potential max 5 refils/6 months verbal orders allowed benzphetamine clortemine ketamine pentobarbital sulfomethane
Schedule 4
requires prescription low potential for abuse max 5 refils/6 months alprazolam barbital lorazepam clonazapam midazolam PHENObarbital diazepam
schedule 5
requires prescription or may be otc in some states
low abuse
currently accepted in medically use of tx
robitussin
pregabalin
retigabine
lomotil
percocet
oxycodone w/ tylenol
oxycontin (NO TYLENOL)
percodan
oxycodone w/ asa
ultram (tramadol)
binds to opiod receptors and inhibits serotonin/norepi reuptake
caution w/ seizure and can cause serotonin syndrome
hydromorphone (dilaudid)
schedule II
taper dose to D/C
meperidine(demerol)
seizure risk overtime and dose
avoid abrupt sensation
schedule II
fentanyl (duragesic)
FOR OPIOD TOLERANT PTS ONLY
major abuse potential
for chronic pain
schedule II
NSAIDS
great use in ortho
be careful w/ concomitant anticoagulation
might slow down fracture healing
black box warning- GI bleed, cardiovascular risk, kidney risk
different group of nsaids
acetic acid
propionic acid
cox 2 inhibitors
acetic acid
diclofenac etodolac indomethacin ketorlac inhibits cyclooxygenase good for arthritis pain (rheumatoid, osteo, ankylosing)
