Test 3 Narcotics

Question 1

adverse effects of narcotics

Answer 1

– nausea
– drowsiness
– dizziness (narcosis)
– constipation if used regularly

Question 2

counseling points of narcotics

Answer 2

– avoid alcohol use
– food or milk to lessen nausea
– take on schedule for chronic pain treatment

Question 3

Norco®

Answer 3

• Hydrocodone / APAP

- Moderate to moderately severe pain

Question 4

Vicoprofen®

Answer 4

• Hydrocodone / Ibuprofen
• No more than 5 tabs per 24 hrs
• Now a Schedule II
• Acute pain, short term
• NOT indicated for chronic arthritic conditions
• more bleeding-related concerns due to ibuprofen

Question 5

MS Contin®, MS IR®

Answer 5

• Morphine
• Contin = sustained release
• Moderate to severe pain (chronic)
• constipation must be anticipated

Question 6

Oxycontin®, Oxy IR®

Answer 6

• Oxycodone
• Contin = sustained release
• Moderate to severe pain (chronic)
• constipation must be anticipated

Question 7

Percocet®

Answer 7

• Oxycodone / APAP

- Moderate to moderately severe pain (acute)

Question 8

Tylenol #3®

Answer 8

• acetaminophen w/ codeine
• Mild to moderate pain
• CIII

Question 9

Ultram®

Answer 9

• tramadol
• Avoid with history of opioid addiction
• Moderate to moderately severe pain
• Drug interactions – TCA, SSRI agents
• mu opioid receptor agonist

Question 10

Ultracet®

Answer 10

• tramadol / APAP
• Avoid with history of opioid addiction
• Moderate to moderately severe pain
• Drug interactions – TCA, SSRI agents
• mu opioid receptor agonist

Question 11

Dolophine®

Answer 11

• methadone
• Pure opiod analgesic
• Long half-life (24-36 hours)
• Indicated for detoxification treatment of narcotic addiction. Administration longer than 3 weeks is considered maintenance treatment

Question 12

Duragesic®

Answer 12

• fentanyl
• Pure opioid analgesic
• > = 50 mcg/hour only in opioid TOLERANT pts
• Acute pain relief may be needed for 1st 24 hours + prn
• Management of chronic pain
• constipation must be anticipated
• do not cut patch

Question 13

Demerol®

Answer 13

• meperidine
• Pure opioid analgesic
• Moderate to severe pain
• gets metabolized into normeperidine which is a toxic metabolite (crosses BBB)
• we might use this for pt’s allergic to morphine
• avoid use in elderly or with renal impairment -> seizure risk

Question 14

Stadol®

Answer 14

• butorphanol
• Opioid analgesic (agonist-antagonist)
• Not for use in opioid-dependent patients
• potential for physical withdrawal symptoms

Question 15

Talwin Nx®

Answer 15

• pentazocine / naloxone
• Opioid analgesic (agonist-antagonist)
• CIV
• used on pts who can’t use the other pain medications
• naloxone is to make sure that ppl do not abuse as iv drug

Question 16

Suboxone®

Answer 16

• buprenorphine / naloxone
• for opioid dependence
• Prescriber must meet qualifications and have specified DEA number
• can be used for pain