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18 Cards in this Set
- Front
- Back
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This opioid has an active metabolite that can cause seizures, most likely to occur after large doses or in renal patients
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meperidine has an active metabolite of normeperidine
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do opoids cause amnesia? Are they anesthetics
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no, no (analgesia not anesthetics)
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What receptor is for demerol?
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kappa
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This opioid has an active metabolite that can cause seizures, most likely to occur after large doses or in renal patients
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meperidine has an active metabolite of normeperidine
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can you reverse ventilatory depression without reversing the analgesia
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no
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What is the pupilary effect of opioids
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pin point pupils secondary to inhibition of edinger-westphal nucleus causing pupil constriction, excatory action on the PNS. this decreases the IOP
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do opoids cause amnesia? Are they anesthetics
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no, no (analgesia not anesthetics)
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What receptor is for demerol?
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kappa
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can you reverse ventilatory depression without reversing the analgesia
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no
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What is the pupilary effect of opioids
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pin point pupils secondary to inhibition of edinger-westphal nucleus causing pupil constriction, excatory action on the PNS. this decreases the IOP
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True or false? opioids reduce the thermoregulatory threshold simlar to inhalational agents
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True
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this durg s given to decrease shivering and ts receptor is>
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meperidine kappa receptor.
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Prrtis is stimulated by which receptor?
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Mu
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what is the effect of opioids on CTZ and vomiting center in the medulla?
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drect stimulation of CTZ wich can cause immediate n/v, inhibit the vomiting center
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Who is at high risk for n/v?
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female, nonsmokers, otion sickness, pain, anxiety, dehydration,inhalational agents, opioids, N20, neostigmine, laproscopic, obgy, ent, abdominal, strabismus
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What 5 antagoinits/mechanisums should be given to prevent N/V
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Dopamine antagoinist (reglan/compazine, droperadol); Serotonin antagoinists (zofran); Histamine antagonist benadryl; and propofol and benzo's (ativan)
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do morphine or the fentanyl derivtves assocated with a higher incdence of chest wall rgidty
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both can cause it but alf and remi have the highest incidence.
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What CV effects do opioids have?
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morphine can decrease b
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