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21 Cards in this Set
- Front
- Back
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Narcotics(optiates)
Pain |
is an unpleasant sensation disturbing patient’s comfort, thought sleep or normal daily activity and is symptomatic of an underlying disease process
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Narcotics(optiates)
what is a problem when treating pain? |
treating symtom and not underlying issue/problem
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Narcotics(optiates)
Pain |
the fifth vital sign; severity(1-10), time-> re-asses_> may need to re-evaluate
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Narcotics(optiates)
endorphins-3 |
receptor in brain; stim and relieves pain; we have our own produces endorphins
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Narcotics(optiates)
Narcotis Mechanism of Action-2 + * |
endorphine receptor
blocks perception of pain*doesnt take away root cause; oly blocks perception |
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Narcotics(optiates)THERAPEUTIC USES-3
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ANALGESIA- relief of pain
ANTITUSSIVE - blocks cough reflex-find together iwth edpetriants(lossens phlegm)-doesnt make sense, but no harm bc not eonough to do harm. ANTIDIARRHEAL |
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Narcotics(Opiates)
PHARMACOLOGY - CNS-5 |
ANALGESIA WITHOUT LOSS OF CONSCIOUSNESS
DROWSINESS - sleepiness BEHAVIORAL CHANGES - euphoria and dysphoria -some narcotics cause this more than others;fell bad depressed)(oppostie side-effects) DEPRESS COUGH REFLEX NAUSEANT AND EMETIC(usualy durin the first 3 days)-need antoher drug |
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Narocits(Opiates)PHARMACOLOGY CNS
TOXIC EFFECTS -2 |
respiratory depression
miosis (pupil constriction) |
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Narocits(Opiates)PHARMACOLOGY CNS
HEAD INJURY |
decreases respiratory drive
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Narocits(Opiates)
PHARMACOLOGY CARDIOVASCULAR-2 |
ORTHOSTATIC HYPOTENSION
MORPHINE EFFECTS intravenous administration decreased cardiac workload during myocardial infarction -look at notes for o2 delivery. |
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Narocits(Opiates)
PHARMACOLOGY GASTROINTESTINAL-2 |
DECREASES PERISTALSIS - stomach and intestines
INCREASES BILIARY PRESSURE |
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Narcotics(Opiates)
PHARMACOLOGY MISCELLANEOUS |
UTERUS - prolongs labor
narcotics not a good choice bc relax uterus so use less potenet narcoitc |
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NARCOTIC ANALGESICS-3
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MORPHINE MEPERIDINE - short acting
FENTANYL - extremely potent |
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MEPERIDINE
Narcotics(Opiates) |
- short acting
used after surgery |
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Narcotics(Opiates)
FENTANYL |
- extremely potent
miniscual doses needed used in OR and intensice care units comes in patch for chronic pain |
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Narcotics(Opiates)
Mrohphine |
- intermediate action, but can be given sustained release. Decreases cardiac work load
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NARCOTIC ANTAGONIST-5
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BLOCKS OPIATE RECEPTOR
reverses opiate toxic effects DISPLACES OPIATES ON RECEPTORS SHORT ACTING PRECIPITATES WITHDRAWAL NALOXONE |
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NARCOTIC AGONIST/ANTAGONIST
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STIMULATES OR BLOCKS RECEPTORS
NOT EFFECTIVE IN SEVERE PAIN ADVANTAGES decreases abuse potential decreases addictive potential |
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ANTIDIARRHEAL
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EFFECTIVE IN NON-INFECTIOUS DIARRHEA
DECREASES GI MOTILITY TO DECREASE DIARRHEA - but will retain toxins and bacteria |
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ANTITUSSIVE
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DECREASES COUGH REFLEX
DECREASES STERNAL PAIN TO ENCOURAGE DEEP BREATHING PAIN CONTROL CONCEPTS |
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PATIENT CONTROLLED ANALGESIA
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leads to less use
CHRONIC TERMINAL PAIN addiction is not a concern POST-OPERATIVE USE not adequately utilized to promote healing |
