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24 Cards in this Set
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The pain that results from an injury to or abnormal fx. of peripheral nerves or the CNS
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neuropathic pain
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pain that occurs from damage or from the forces that have the capacity to damage normal tissue. It is pain that may be categorized as cutaneous, somatic, or visceral in nature.
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nociceptive pain
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a correct term for narcotic analgesics; these are drugs that act by binding to opiate receptor sites in the CNS and are derived from opium poppies
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opoids
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a strong narcotic analgesic/agonist of which all other narcotic analgesics are measured for effectiveness. It can precipitate respiratory arrest and adverse cardiovascular effects such as hypotension. It may be given orally, IM, SC, IV, rectally, and SL.
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morphiene
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a mild narcotic analgesic/agonist which also is used to suppress cough. When given orally, it is often given as a tablet combined w/ acetaminophen
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codiene
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this drug is a narcotic analgesic/antagonist used for moderate to severe pain. because of its antagonist action, it does not cause respiratory depression, like narcotic agonists.
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pentazocine
trade name: Talwin |
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narcotic antagonist used to reverse the adverse effects of narcotic overdoses
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naloxone
trade name: Narcan |
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non-narcotic drug derived from willow-bard, used as an anti-inflammatory, antipyretic, analgesic, and anti-platelet aggregator to prevent strokes and heart attacks
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acetylsalicylic acid, ASA, aspirin
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non-narcotic drug that belongs in the NSAID family, but is specifically known as a prostaglandin synthetase inhibitor; lower doses can be purchased OTC
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ibuprofen
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non-narcotic analgesic available w/o a prescription. It is the only para-aminophenol derivative available in the US. Commonly used to treat fever and mild pain, but has no anti-inflammatory effects; usually tolerated better than NSAID
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acetaminophen
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non-narcotic, serotonin-selective drug used to specifically treat migrain headaches; can be given SC or PO
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sumatriptan
trade name: Imitrex |
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a drug that attaches to a cellular receptor, preventing other molecules from attaching and causing an effect; also referred to as a blocker or blocking agent
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antagonist
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a drug that attaches to a cellular receptor, thereby stimulating the cell to act; a drug that promotes a function
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agonist
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any drug that decreases inflammation but is NOT a steroid. This may include a drug from the salicylate or the prostaglandin synthetase inhibitor families
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NSAIDS
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drugs used in conjunction with narcotic and non-narctotic analgesics. sometimes referred to as co-analgesics. They include steroids, seizure meds, antidepressants, stimulants, and anesthetics
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adjuvant drugs
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one of the tricyclic antidepressants found to be extremely useful in the tx. of neuropathic pain
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amitriptyline
trade name: Elavil |
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class of drugs used to treat mood disorders
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antidepressant
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class of drugs used to treat conditions such as epilepsy
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antiseizure
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this drug stabilizes the membrane of nerve cells and prevents transmission, thereby decreasing neuropathic pain and headache; also an antiseizure med
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gabapentin
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a synthetic glucocorticoid given for its anti-inflammatory and immunosuppressant effects. This drug, while valuable in the tx. of many conditions, produces adverse effects such as GI distess, sodium retention, and potassium excretion, mood swings, and higher than normal blood glucose levels.
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prednisone
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a topical analgesic derived from plants and is the active ingredient in hot peppers. It is thought to work by reducing the amount of "substance P" in peripheral sensory neurons
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capsaicin
Trade name: Zostrix |
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state of adaptation in which the body becomes accustomed to a drug over time and larger doses are req'd to produce the desired effects
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tolerance
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compulsive, uncontrollable dependence on a substance to such a degree taht cessation causes several emotional, mental, and physiologic reactions
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addiction
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non-pharmacologic method of pain relief, using electric current
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TENS
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