pharm 6 Flashcards

1
Q

analgesics

A

relieve pain

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2
Q

sedatives

A

calm,soothe, produce sedation

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3
Q

hypnotics

A

produce sleep

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4
Q

most common reason pts seek out care

A

pain

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5
Q

subjective

A

it can only be experienced by the pt

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6
Q

endorphins

A

endogenous analgesics produced within the body as a reaction to severe pain or intense exercise

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7
Q

what do endorphins do?

A

block the transmission of pain

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8
Q

placebo effect

A

relief from pain as the result of suggestion without he administration of an analgesic

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9
Q

opioid analgesics

A

controlled substances since they cause tolerance and dependence

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10
Q

tolerance

A

larger dose of opioid is needed to achieve the same level of analgesia

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11
Q

when are opioids used?

A

chronic pain (cancer, terminal illness)

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12
Q

opioid SE

A

sedation

confusion

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13
Q

preop opioid

A

before the start of anesthesia

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14
Q

tramadol

A

centrally acting, produces analgesia

less potential for abuse

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15
Q

nonopioid analgesics

A

mild to moderate pain, fever

combine as a coanalgesic

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16
Q

salicylates

A

most commonly used

prevent formation of prostaglandins

17
Q

salicylates SE

A

prolonged bleeding

coma

18
Q

acetaminophen

A

mild to moderate pain

no help with inflammation

19
Q

acetaminophen SE

A

liver toxicity

decreased urine output

20
Q

prostaglandins

A

help with inflammation

21
Q

tylenol

A

pain and fever little inflammation

doesn’t have SE GI bleed

22
Q

adjuvant analgesics

A

pain BROAD

23
Q

fibromyalgia

A

chronic, widespread musculosketetal pain

24
Q

tricyclic antidepressants

A

treat fibromyalgia and nerve pain from herpes, arthritis

25
Q

serotonin norepinephrine reuptake inhibitors

A

treat diabetic neuropathy and fibromyalgia

26
Q

anticonvulsants

A

nerve pain

27
Q

first line anticonvulsant

A

neurontin

28
Q

lidocaine

A

postherapeutic neuralgia, neuropathic pain

29
Q

serotonin receptor agonists

A

treat migraine symptoms, N/V

30
Q

sedatives/hypnotics

A

promote sedation in small doses

promote sleep in lg doses

31
Q

benzodiazepines/nonbenzodiazepines

A

less potential for abuse sedatives

32
Q

benzodiazepines/nonbenzodiazepines SE

A

daytime sedation
dependence
amnesia

33
Q

ramelteon (rozerem)

A

acts on melatonin receptors to trigger sleep onset

1st approved