Analgesics

Front 1

Morphine sulfate-
DRUG PROTOTYPE-
OPIOID AGONIST/
Analgesic

Back 1

Oral to parental 1/3 as strong
Parental to oral 3 times stronger

Hint 1

CI asthma, comprimised BP,
during labor when delivery of premature infant is anticipated,paralytic ileus, repiratory depression, upper airway obstruction.

Front 2

Morphine Sulfate
Schedule II
Severe Pain and high abuse potential.

Back 2

A/E peripheral edema, pruritus, sweating, ab pain, constipation, nausea, vommitting, Xerostomia

Hint 2

Avoid activites requiring alertness, REPORT SIGNS of Respiratory depression,excessivese sedation, hypotension, constipation or urinary retention.

Front 3

Morphine Sulfate has a potentailly toxic metabolite-morphine -6-glucuronide-it is more likely to affect

Back 3

renal impairment patients. So morphine sulfate should not be given. Instead give them

Hint 3

Dilaudid,(hydromorphone), fentanyl, oxymorphone (Opana)**1 milli of Dilaudid=
8 mg of Morphine.

Front 4

Acetaminophen-
non-opioid analgesic/antipyretic
mild to moderate pain

Back 4

No more than 4g per day
oral and rectal..
A/E Pruritus, constipation, nausea, vommitting, headache, agitation.

Hint 4

C/I in heptatic
DTD-Warfarin, phenytoin,carbamazepine,
UNSAFE to take more than 4g, many OTC have this in it, Report signs of hepatic, nephrotic, GI Bleed. NO alcohol, DO drink H2O

Front 5

codeine sulfate-analgesic/opioid.
Schedule II
Mild to moderate pain.

Back 5

15-61 mg 4-6 hrs.
A/E constipation, nausea, vommitting, dizzy,lighthead, hypotension, bowel obstrucion, CSF pressure raised, seizure, respiratory depression.

Hint 5

DTD Naltrexone, TOO many others to mention. Avoid acvtivites need mental alertness, Long term use can produce withdrawals when stopped.No alcohol, no CNS depressants,

Front 6

fentanyl
Opioid/analgesic
Schedule II
Chronic, moderate to severel

Back 6

oral or transdermal-only for opioid toleraant 25 MCG daily
A/Epruritus, sweating, diarrhea, constipation, Ab pain, xerostomia, nervous, headache, asthenia, somnolence

Hint 6

DTD-Naltrexone,long list.
REPORT USE OF MAOI w/in last 14 days, avoid mental alertness activities, don't expose extended release patch to heat, Report absence of pain relief, or constipation, monitor, respiratory depression, hypoventilation, ferbrile, do NOT discontinue suddenly, AVOID alcohol and CNS depressants.

Front 7

lidocaine
Amino amide/anesthetic (local)
R/XOTC
Topical anesthesia,postherpetic neuralgia

Back 7

Topical, 5g (250mg of base) =to 6 in length, max 17-20g per day. postherpetic neuralgia-3 patches topically at one time for up to 12 hrs w/in a 24 hr period.

Hint 7

C/I hypersensitivity to local anesthetics of the amide type
A/E hypotension, nausea, cardiac arrest, cardiac dysrhythmia,anaphylaxis, methemoglobinemia.

Front 8

hydromorphone-dilauidid
analgesic/opioid
acute pain-moderate to severe

Back 8

im/subq,iv,oral,rectal
CI-asthma, GI surgery, intracranial lesions, paralytic ileus, DTD naltrexone, long list.

Hint 8

A/Econstipation, vommitting, assthenia, dizziness, headache, somnolence.
avoid activites needing alertness, report constipation, absence of pain relief, hypotension, respiratory depression, do not discontinue abruptly, no alcohol, no CNS depressants.