Term
Morphine Sulfate (Roxanol, MS Contin)
Codeine Sulfate
Fentanyl (Duragesic Actiq)
Methadone, Oxycodone,
Hydromorphone Hydrochloride (Dilaudid)
Hydrocodone(Vicodin)
All Schedule C-2 Controlled Substances
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Definition
INDICATIONS
analgesia-Moderate to severe/manage pain
reduces myocardial oxygen requirements
ADVERSE EFFECTS
constipation, urinary retention, respiratory depression, itching
NSG MGMT
monitor resp rate, n/v, uringary retention, itching due to histamine release(not and allergic reaction) mental alertness, addiction, opoid tolerance, dispose of by folding patches in half |
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Term
OPOID ANTAGONISTS
Naloxone hydrochloride (Narcan) |
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Definition
Use for Respiratory Distress
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Term
NONopioid and Misc. Analgesics
Acetaminophen (Tylenol) is the most widely used nonopoid analgesic
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Definition
INDICATION
ANTIPYRETIC (brings temp down)
NO ANTIINFLAMMATORY effect
ADVERSE EFFECTS
(Hepatic) Liver toxicity
NSG MGMT
4gm maximum in 24h for adults
No more than 2gm in those with liver failure or advanced age |
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Term
Tramadol (Ultram)
Weak bond w/opoid receptor |
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Definition
INDICATIONS
Moderate to moderately severe pain
NSG MGMT
assess pain relief
increase risk of developing serotonin syndrome when taken with SSRI |
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Term
TRANSDERMAL LIDOCAINE
on 12h off 12h |
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Definition
INDICATION
topical anesthethic for pain, postherpetic neuralgia(shingles), back pain
ADVERSE EFFECTS
arrhythmia
NSG MGMT
up to 2 patches can be placed at once, systemiv drug toxicity
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Term
Nonsteroidal anti-inflammatory drugs (NSAID)
(When taken once daily keeps platlets from clumping)
Asprin (ASA)
Ibuprofen (Motrin, Advil)-Naproxen 2nd most common
Ceecoxib (Celebrex)-a COX-2 inhibitor |
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Definition
Action
leukotriene patheway, the prostaglandin pathway
INDICATION
GI intolerance, bleeding, renal impairment, Acute kidney injury(AKI),/Renal toxicity, Hepatic toxicity, toxic effect of ASA ototoxicity(tinnitus and hearing loss) Nonsalicylate NSAIDs overdose Hemodialysis of no value in eliminating drug, All NSAIDS FDA:BLACK BOX warning cardiovascular risk
NSG MGMT
ASA enteric coated dissolves in small intestine, Asprin triad- assess asthma, nasal polyps, and rhinitis |
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Term
DRUGS FOR GOUT
Indocin, Motrin(first line treatment)
Allopurinol (Zyloprim)
Colchicine
Probenecid |
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Definition
Action: Allopurinol
to prevent uring acid production
Action: Colchicine
reducing the inflammatory response
Action: Probenecid
inhibit reabsorption of uric acid in the kidney
Take with food of mild, plenty fliuds |
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