Pharm of pain Flashcards
What are the therapeutic effects of Acetaminophen (tylenol)?
- pain reliever (analgesic effect)
- fever reducer (antipyretic effect)
- DOES NOT HAVE: anti-inflammatory or anticoagulant effect
What are the classes of medication?
- acetaminophen
- NSAIDs
- Opiates
- muscle relaxants
- corticosteriods
- local antesthetics
- antidepressants
- anxiolytics
What are the serious side effects of acetaminophen?
- less GI irritation than NSAIDs
- serious: hepatotoxicity, hepatic failure
What are the therapeutic effects of NSAIDs?
- Anti-inflammatory, analgesic, antipyretic effects
- has less of an anticoagulant effect
What are common and serious side effects of NSAIDs?
- Common: headache, nausea, GI disturbances
- Serious: GI bleeding
What are the therapeutic effects for Opiates?
-pain reliever (analgesic effect)
What are common and serious side effects for opiates?
- common: sedation, confusion, constipation
- Serious: respiratory depression (will see a change in mental status before you see respiratory depression)
What are the therapeutic effect for muscle relaxants?
-reduce muscle tone
what are the common and serious side effects for muscle relaxants?
- common: dizziness, drowsiness, dry mouth
- serious: none
- used to be used for antidepressant before a muscle relaxant
What are the therapeutic effect for corticosteriods?
- powerful anti-inflammatory
- often combined and injected with local anesthetic for analgesic effect
What are the common and serious side effects for corticosteroids?
- Common: Depression/euphoria, hypertension, immune suppression
- serioius: peptic ulceration, thromboembolism
- Serious side effects significantly effected by route of delivery and duration of usage
What are the therapeutic effects of local anesthetics?
- block afferent and efferent action potential propagation along the neuronal axons
- can’t move muscle and can’t feel pain
- can also be used to treat cardiac arrhythmias
what are common and serious side effects for local anesthetics?
- common: confusion and drowsiness
- serious: cardiac arrest, seizures, allergic reactions
- can have effect on CV system and CNS
What are the therapeutic effects for antidepressants?
-reduce depression
What are common and serious side effects for antidepressants?
- common: sedation, lethargy, blurred vision, dry eyes/mouth, hypotension, constipation
- serious: arrhythmias