Shared Flashcard Set

Details

Narcotics Agonists and Antagonist
drugs
41
Nursing
Undergraduate 2
10/30/2014

Additional Nursing Flashcards

 


 

Cards

Term
What are the usual indications for codeine?
Definition
  1. Cough
  2. Mild to moderate pain relief
Term
What are the generic names for Fentanyl?
Definition

Actiq

Duragesic

Term
What are the indications for Fentanyl use?
Definition
  1. Before, During, and after surgery
  2. Transdermal patch for chronic pain management
  3. Control of break through pain
Term
What is the generic name for Hydrocodone?
Definition
Hycodan
Term
What are the indications for hydrocodone?
Definition
  1. Relief of cough
  2. Relief of moderate pain in combination products
Term
What is the generic name for Hydromorphone?
Definition
Dilaudid
Term
What is the indication for use of dilaudid?
Definition
Relife of moderate to severe pain in ADULTS
Term
What is the brand name for levorphanol?
Definition
Levo-Dromoran
Term
How would Levorphanol be administered if given IV?
Definition
1 mg by slow injection
Term
what are the indications for use of levorphanol?
Definition
  1. Post operative pain in adults
  2. Management of moderate to severe pain in adults
Term
what is the brand name for meperidine?
Definition
demerol
Term
what are the indications for meperidine use?
Definition
  1. Relief of moderate to severe pain
  2. Preoprative analgesia
  3. support of anesthesia
  4. obstetrical anasthesia
Term
  1. what is the brand name for methadone?
  2. What are the indications for its use?

 

Definition
  1. Dolophine
  2. relief of severe pain
  3. Detoxification adn temporary maintenance treatment of narcotic addiction in adults
Term
what are the brand names for morphine?
Definition

Roxanol

Astromorph

Term
what is the brand name for opium?
Definition
Paregoric
Term
What is the brand name for Oxycodone?
Definition

Oxycontin

Oxecta

Term
What is the brand name for oxymorphone?
Definition
Numorphan
Term
What is the brand name for remifentanil
Definition
Ultiva
Term
What is the brand name for sufentanil?
Definition
Sufental
Term
What is the band name for tapentadol
Definition
Nucynta
Term
What is the brand name for tramadol?
Definition
Ultram
Term
what is the brand name for buprenorphine?
Definition
Buprenex
Term
What is the brand name for Butorphanol?
Definition
Stadol
Term
What is the brand name for nalbuphine?
Definition
Nubain
Term
What is the brand name for Pentazocine
Definition
Talwin
Term
What is the brand name for naloxone?
Definition
Narcan
Term
What is the brand name for naltrexone?
Definition
ReVia
Term
what would be the indications of use with Paregoric?
Definition

Treatment of diarrhea

relief of moderate pain

Term
what would be the indications for use with oxycodone?
Definition
relief of moderate to severe pain
Term
  1. What is remifentanil used for?
  2. What special precautions must be taken?
Definition

1. Analgesic used in general anasthesia

2. must be under the direct supervision of the anasthesia practictioner

Term
what medication is used as a general anasthetic and used as an epidural agent in labor an delivery?
Definition
sufentanil
Term
  1. What medication medication can be used for relief of moderate to severe pain in pts > 18 yrs old but poses a risk for serious serotonin syndrome?
  2. What other medications would this particular medication have to be in combination with for such risk factors?
Definition

tapentadol (Nucynta)

SSRIs, MAOIs, TCAs, St. Johns Wort

Term
You have a patient who has a hx of narcotic abuse. The doctor orders Tramadol for this patient for relief of moderate to moderately severe pain. What should you do as a nurse?
Definition
Ask the doctor to clarify the order because the patient has a hx of narcotic abuse and possibly ask for a limiting dose.
Term
which medications out of the three are less likely to have respiratory depression? What class of drug would this be?
Definition

butorphanol (Stadol)

buprenorphine (Burprenex)

nalbuphine (Nubain)

pentazocine (Talwin)

 

These are Narcotic Agonists/Antagonists

Term
a patient has been using narcotics and is experiencing pain. The doctor orders Nubain for the patient. What symptoms might this patient experience?
Definition
withdrawal
Term
a cancer patient has increased pain and is receiving Oxycontin q12 hours.  The patient is asking for an increased dose.  Could this be a sign of tolerance to the drug or does the patient have increased pain?
Definition
Probable increased pain. Notify the doctor.
Term
can additional narcotics be given after Narcan has been given? Why?
Definition
No. Must wait until the effects of the Narcan have passed.
Term
Why must pentazocine be administered cautiously in patients with heart disease?
Definition
because it can cause cardiac stimulation, arrhythmias, HTN, and increased myocardial oxygen consumption which could lead to angina, MI or heart failure.
Term
what adverse effects are listed for narcotic agonists/antagonist?
Definition

N/V/C

biliary spasm

respiratory depression

Light headedness

dizziness

psychoses

anxiety

fear 

hallucinations

imparied mental processes

ureteral spasm

urinary retention

heitancy

loss of libido

 

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