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20 Cards in this Set
- Front
- Back
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Step 2 of the WHO analgesic ladder is to treat ? pain and we will use ? dose opioids in this step.
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moderate, low
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Acetaminophen combinations like ? are no longer used but patients still have stashes of these.
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propoxyphene(Darvocete N-100)
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Acetaminophen combinations include acetaminophen + ?= tylenol #3 and tylenol #4, acetaminophen + ? = Vicodin, Lortab, Norco. Acetaminophen + ? = percocet.
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codeine, hydrocodone, oxycodone
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If a patient is prescribed Vicodin 5mg/500mg 1-2tabs q4h prn pain. If the patient takes two every 4 hrs how many grams of each are they getting per dose? and how many grams are safe to take in a 24 hr period ? What other drug could we give so the patient is getting the same amount of opioid but less acetaminophen? why?
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0.1gm of hydrocodone,500mg+500mg=1gm acetaminophen, 4gm, Norco because there are 10 mg hydrocodone and 325mg acetaminophen.
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Hydrocodone is a schedule ? and Oxycodone is a schedule ? medicine.
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III, II
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Step 3 of the WHO analgesic ladder is to treat ? pain such as ? Meds that fit into this category are used for Continuous relief such as those used in a ? or ?
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severe, BTP, PCA, Epidural
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Opioids used in step 3 include ?, ?,?,?,?
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morphine sulfate, oxycodone, Hydromorphone(dilaudid), Fentanyl(sublimaze, duragesic), Methadone, Meperdien(demerol)
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IV push meds should be given over ? minutes
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2
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adverse effects of opioids include ?,?,?,?,?,?
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Hypotension, Resp depression, flushing, pruritus, constipation, physical dependence/tolerance
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the antidote for Opioids is ? and is usually given ? and reversal occurs ? Narcan has a ? half life so we have to watch for ?
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Naloxone(narcan), IV, immediately, short, resedation
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? are drugs that enhance or decrease the effect of opioids.
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Adjuvents
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Common adjuvents that we may see are antidepressants ?,?,?
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Tricyclics:amitriptyline(Elavil)not used a lot, Atypicals: Bupropion(wellbutrin) and Duloxetine(Cymbalta). SSRI's: fluoxetine(Prozac) and Sertraline(Zoloft)
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If a patient does not have a hx of antidepressant use and you see an antidepressant med on their MAR it is probably being used as an ? to increase/decrease the pain meds action.
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adjuvant
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? meds are used as adjuvants for ? pain like numbness, burnig, tingling. These drugs include ? and ?
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Anticonvulsants, neuropathic, Neurontin or Lyrica
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?'s are used as adjuvants to reduce inflammation but are not used with NSAID's such as ?,?,?
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Corticosteroids, Prednisone, Decadron, Medrol dose pac
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? are used as adjuvants to relax muscles. These meds are ? and ?
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Muscle relaxants, Diazepam(Valium), Methocarbamol(Robaxin)
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?'s are used as adjuvants for itching, naseau, and other side effects. The meds that are used as adjuvents with pain meds for this are ? and ?
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Antihistamines, Benadryl, Phenergan
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?'s are used as adjuvants to pain meds and are placed on the skin. The medicine on the patch is ? These patches can be on for ? hrs and then off for ?hrs. There can be up to ? patches on a pt at one time.
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Topical Anesthetic, Lidocaine, 12,12, 3
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? pain has enormous physiological and phychological effects on patients. The ? believes the effective management of pain is a crucial component of good care.
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Unrelieved, Joint Commission
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The large group that Pepcid fits into is Anti-Ulcer, the sub-groups of Anti-Ulcer are ? and ?
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histamine antagonist and Proton Pump Inhibitor(PPI)
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