Pharmacological Pain Management 2410

Question 1

morphine

1. brand name
2. classification
3. usual route

Answer 1

1. MS Contin
2. opioid narcotic
3. IM, IV, PO

Question 2

morphine/MS Contin

1. Action
2. Adverse effects

Answer 2

1. analgesic for moderate to severe pain; binds to pain receptors to alter pain perception; no ceiling when tolerance builds; cancer pain

–>the phenomenon in which a drug reaches a maximum effect, so that increasing the drug dosage does not increase its effectiveness is ceiling effect

2. respiratory depression, constipation, N/V

Question 3

oxycodone

1. Brand name
2. Classification
3. usual route

Answer 3

1. Percocet
2. opioid narcotic
3. PO

Question 4

oxycodone/Percocet

1. Action
2. Adverse effects

Answer 4

1. analgesic for moderate to severe pain; binds to pain receptors and alters pain perception; no ceiling when tolerance builds; usually used for short term pain
2. Respiratory depression, constipation, N/V

Has acetaminophen so high doses can cause liver damage. Highly addictive when used for non medical reasons.

Question 5

fentanyl

1. Brand name
2. Classification
3. Route

Answer 5

1. Duragesic
2. Opioid narcotic
3. Patch, IV

Question 6

fentanyl/Duragesic

1. Action
2. Adverse effects

Answer 6

1. Analgesic for moderate to severe pain, binds pain receptors
2. Respiratory depression, constipation

Question 7

acetaminophen

1. Brand name
2. Classification
3. Route

Answer 7

1. Tylenol
2. non-aspirin, antipyretic
3. PO

Question 8

acetaminophen/Tylenol

1. Action
2. Adverse effects

Answer 8

1. analgesic for mild to moderate pain management; inhibits prostaglandin synthesis production
2. Liver damage with high doses; not an anti-inflammatory

Question 9

ibuprofen

1. Brand name
2. Classification
3. Route

Answer 9

1. Motrin, Advil
2. NSAIDS, anti-inflammatory
3. PO

Question 10

ibuprofen/Motrin/Advil

1. Action
2. Adverse effects

Answer 10

1. blocks pain receptors, vasoconstrictor, inhibits vasodilating, blocks prostaglandin production
2. stomach irritation, ulcer, increases risk of bleeding, bruising

Question 11

aspirin

1. Brand name
2. Classification
3. Route

Answer 11

1. many brands
2. salicylate (NSAID)
3. PO

Question 12

aspirin/many brands

1. Action
2. Adverse effects

Answer 12

1. anti-clotting with low dose prophylaxis, analgesic for mild to moderate pain management, inhibits prostaglandin production, anti-inflammatory, analgesic and antipyretic effect

–> for HA, general mm and jt pain, arthritis

2. Nausea, GI bleed, thrombocytopenia, leukopenia

Question 13

meperidine

1. Brand name
2. Classification
3. Route

Answer 13

1. Demerol
2. Opioid analgesic narcotic
3. IV, IM

Question 14

meperidine/Demerol

1. Action
2. Adverse effects

Answer 14

1. Analgesic for moderate to severe pain, binds with opioid receptors to block pain perception
2. Respiratory depression, N/V, light-headedness, fallen out of favor r/t toxic metabolites built in the body

Question 15

hyrocodone

1. Brand
2. Classification
3. Route

Answer 15

1. Lortab
2. opioid narcotic
3. PO

Question 16

hydrocodone/Lortab

1. Action
2. Adverse effects

Answer 16

1. Analgesic usually used for short-term pain; bind to opiate receptors and alter the reception and response to pain; causes CNS depression
2. Has acetaminophen, high doses can cause liver damage; N/V take with food; highly addictive when used for non-medical reasons; constipation

Question 17

hydromorphone

1. Brand
2. Classification
3. Route

Answer 17

1. Dilaudid
2. opioid narcotic
3. IV, IM, PO

Question 18

hydromorphone/Dilaudid

1. Action
2. Adverse effects

Answer 18

1. analgesic for moderate to severe pain pain, usually used for short-term pain; bind to opiate receptors and alder the reception and response to pain; causes CNS depression
2. Respiratory depression, sedation, GI upset, urinary retention, constipation, hypotension