Term
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Definition
o All drugs compared to this
o Roxanol- oral solution
o MS Contin/ Oramorph- PO
o IV form (morphine)- IV, IM, Subcut
o If patient is having a heart attack
o We do not like to use for patients who have disease or surgery of the common bile duct
§ Gallbladder disease
o Very high hepatic first pass effect |
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Term
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Definition
o Tylenol #3
o Anti-tussive- main use to treat cough
o Less effect than morphine to treat pain |
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Term
- Hydromorphone(Dilaudid) |
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Definition
o Very potent
o Much more powerful than morphine
o 1mg of this equals 10mg of morphine
o Very short acting
o PO, IV, and rectal sepository |
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Term
- Meperidine HCL (Demerol) |
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Definition
o 75mg of this equal 10mg of morphine
o 50% hepatic first pass effect
o Whole lot orally to achieve
o Very long half life
o Can start to accumulate, cause CNS toxicities, within 48 hours of giving it consistently
o Halucinations
o Cannot have if they are taking or have taken within 3-4 weeks MAOI
o Very high BP, very high fevers, seizures, could cause death |
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Term
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Definition
o Drug choice for opiate detox
o Used for patients with chronic pain
o Used for babies that are addicted |
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Term
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Definition
o Very potent, much more potent than morphine
o Used for acute, chronic pain
o Transdermal, injections, lollipop, IV, IM
§ Patch is good for 3 days
§ Doesn’t start to work for 6-12 hours
§ Breakthrough pain
§ Lollipop used for patients with cancer
o 0.1 mg = 10 mg morphine IV, VERY POTENT! |
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Term
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Definition
o Oxy + Tylenol = Percocet, tylox, roxicet
o Oxy + ASA = Percodan
o 0xyIR = immediate release
o oxyCotin = timed release |
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Term
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Definition
o hydrocodone + acetaminophen = vicodin, lorcet, lortab
o hydrocodone + ibuprofen = vicoprofen |
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Term
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Definition
o ask for meds BEFORE pain to severe
o constipation intervention
§ drink lots of water, lots of fiber, 25 g of fiber
§ use foods instead of another medications |
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Term
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Definition
- Patients education
- Excellent pain assessment!
- If you push IV reassess 30 min after dose, if given a pill you can reassess and hour after |
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Term
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Definition
o opioid antagonist
§ Competes with the other drug
§ Push a little and wait to see what happens
§ Long half life
§ Look for rebound pain
§ Fixed schedule for cancer patients not PRN |
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