Week 5 Medications and BOXED WARNINGS Flashcards

1
Q

Benzodiazepines

A

BOXED WARNING:
- Benzodiazepines + opioids may result in profound sedation, respiratory depression, coma, and death
- Abuse, misuse, and addiction
- Dependence and withdrawal reactions (seizure risk)

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2
Q

Opioids

Opioids + Analgesic Nonopioids

A

BOXED WARNING:
- Addiction, abuse, and misuse
- Life-threatening respiratory depression
- Neonatal opioid withdrawal syndrome if used during pregnancy
- Accidental ingestion by children —-> fatal overdose
- Risks from concomitant use with benzodiazepines/CNS depressants —> sedation, respiratory depression, coma/death
- Risk of medication errors —-> dosing errors
- Hepatotoxicity in acetaminophen containing products if taking > 4 grams acetaminophen/day
- Life-threatening QT prolongation with methadone
- MAOIs (monoamine oxidase inhibitors) + meperidine —> coma, severe respiratory depression, cyanosis, and hypotension
- Codeine contraindicated in patients < 12 years of age and patients < 18 years of age following tonsillectomy/adenoidectomy —> life-threatening respiratory depression

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3
Q

Antidote

flumazenil - Romazicon

A

BOXED WARNING:
- Benzodiazepine reversal may result in seizures; seizures may occur more frequently in patients on benzodiazepines long-term

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4
Q

midazolam

A

Versed

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5
Q

temazepam

A

Restoril

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6
Q

diazepam

A

Valium
Diastat AcuDial

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7
Q

clonazepam

A

Klonopin

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8
Q

alprazolam

A

Xanax

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9
Q

lorazepam

A

Ativan

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10
Q

morphine

A

MS Contin
Kadian
Roxanol

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11
Q

oxycodone

A

Oxycontin
Roxicodone

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12
Q

codeine

A

n/a

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13
Q

oxymorphone

A

Opana

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14
Q

hydromorphone

A

Dilaudid

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15
Q

meperidine

A

Demerol

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16
Q

fentanyl

A

Duragesic
Sublimaze
Actiq

17
Q

hydrocodone

A

Hysingla ER
Zohydro ER

18
Q

methadone

A

Dolophine
Methadose

19
Q

codeine / acetaminophen

A

Tylenol with Codeine #3
Tylenol with Codeine #4

20
Q

oxycodone / acetaminophen

A

Percocet
Endocet

21
Q

hydrocodone / acetaminophen

A

Norco
Vicodin
Lorcet
Lortab

22
Q

naloxone

A

Narcan

23
Q

flumazenil

A

Romazicon