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30 Cards in this Set
- Front
- Back
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Opioid-Inportant info
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Schedule 2 narcotics
Produce stupor & numbness Severe- Moderate pain Work in CNS |
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Opioid-MOA
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Agonist-binds to receptor&causes a response
Partial Agonist--binds to receptors and causes limited actions. |
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Opioid
TU |
Pain, antitussive, diarrhea, sedation, pre op, heroin detox, obstetric analgesia
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Opioid
Side Effects |
Alter LOC
Decreased... resp UOP Peristalsis N,V,C BP Dependance dizziness drowsiness |
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Opioid
CA |
LOC
BP Resp status hold if less than 12RR(Prior and during Tx) drug interaction hepatic/renal function(UOP) mental status |
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Opioid
Pt teaching |
Assess LOC
Monitor VS closely--esp. Resp Strict I/O S&S anaphylatic(hypersensitivity) Adequate liquids Laxative or stool softner PRN Avoid haz activities Report HA/seizure Assist with ambulation Potential abuse DO NOT STOP abruptly Take before pain is severe |
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Opioid
Examples |
Codeine
hydrocodone Percocet Darvon Dilaudid Demerol Morphine |
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Opioid
Antidote |
Opioid Antagonist--binds to receptors
reverse resp depression Naloxone(Narcan) |
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NON Opioid Acetaminophen
Important Info |
Works in peripheral; mild-moderate pain
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NON Opioid Acetaminophen
MOA |
causes pain impulses to be blocked peripherally
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NON Opioid Acetaminophen
TU |
Pain
Fever Anti-inflammatory(Weak) Alternate for aspirin intolerance |
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NON Opioid Acetaminophen
SE |
Blank
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NON Opioid Acetaminophen
CA |
Drug interaction esp caffine and alcohol
monitor liver fx--toxicity rapid weak pluse dyspnea cold, clammy extremeties caution with anemia Hepatic disease Chronic alcoholism |
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NON Opioid Acetaminophen Pt teaching
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DO NOT OVERDOSE
4g/day take as directed DO NOT take with NSAIDS |
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NON Opioid Acetaminophen
Examples |
Tylenol--most commonly used with opoids
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NON Opioid Acetaminophen
Antidote |
Acetylcysteine
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NON Opioid
Non-steroidal anti-inflammatory drugs Important info |
Works in peripheral; mild to moderate pain
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NON Opioid
Non-steroidal anti-inflammatory drugs MOA |
Pain- blocks undesirable effects of prostaglandins
Fever--inhibiting cycloxygenase enzyme, preventing formation of prostaglandins |
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NON Opioid
Non-steroidal anti-inflammatory drugs TU |
Pain, anti-inflammatory(rheumatoid&
osteoarthritis) Fever |
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NON Opioid
Non-steroidal anti-inflammatory drugs SE |
GI distress and disturbances
Reduction in Creatinine Tubular necrosis w/renal failure Acute reversible hepatotoxicity Skin eruption Sensitivity Tinnitus Hearing loss |
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NON Opioid
Non-steroidal anti-inflammatory drugs CA |
Drug interaction
monitor hepatic fx Hct, Hgb, RBC can be low due to GI bleed Na+ lowered K+ elevated |
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NON Opioid
Non-steroidal anti-inflammatory drugs PT teaching |
Take with meals to reduce GI upset
Avoid alcohol DO NOT take with ASA&Tylenol Report Bleeding |
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NON Opioid
Non-steroidal anti-inflammatory drugs Examples |
Ibuprofen
Motrin Advil Toradol |
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NON Opioid
Salicylates Important Info |
Works in peripheral
mild to moderate pain |
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Non Opioid Salicylates
MOA |
Pain- blocks undesirable effects of prostaglandins
Fever--inhibiting cycloxygenase enzyme, preventing formation of prostaglandins |
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Non Opioid Salicylates
TU |
pain
Anti-imflammatoryRheumatoid and osteoarthritis Fever THROMBOLYTIC(Treat MI) |
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Non Opioid Salicylates
SE |
GI Distress(carefeul with anticoagulants)
Tinnitus(aspirin toxicity) |
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Non Opioid Salicylates
CA |
Drug interactions
Bleeding Avoid alcohol Tinnitus Hepatic/Renal fx monitor |
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Non Opioid Salicylates
Pt teaching |
Avoid alcohol
Take with meals to decrease GI upset Report the following; changes in hearing bleeding GI distress Take as ordered |
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Non Opioid Salicylates
Examples |
Aspirin
Goody's powder Ecotrin |
