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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
neuropathic pain
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.
nociceptive pain
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
opoids
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.
morphiene
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
codiene
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.
pentazocine
trade name: Talwin
narcotic antagonist used to reverse the adverse effects of narcotic overdoses
naloxone
trade name: Narcan
non-narcotic drug derived from willow-bard, used as an anti-inflammatory, antipyretic, analgesic, and anti-platelet aggregator to prevent strokes and heart attacks
acetylsalicylic acid, ASA, aspirin
non-narcotic drug that belongs in the NSAID family, but is specifically known as a prostaglandin synthetase inhibitor; lower doses can be purchased OTC
ibuprofen
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
acetaminophen
non-narcotic, serotonin-selective drug used to specifically treat migrain headaches; can be given SC or PO
sumatriptan
trade name: Imitrex
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
antagonist
a drug that attaches to a cellular receptor, thereby stimulating the cell to act; a drug that promotes a function
agonist
any drug that decreases inflammation but is NOT a steroid. This may include a drug from the salicylate or the prostaglandin synthetase inhibitor families
NSAIDS
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
adjuvant drugs
one of the tricyclic antidepressants found to be extremely useful in the tx. of neuropathic pain
amitriptyline
trade name: Elavil
class of drugs used to treat mood disorders
antidepressant
class of drugs used to treat conditions such as epilepsy
antiseizure
this drug stabilizes the membrane of nerve cells and prevents transmission, thereby decreasing neuropathic pain and headache; also an antiseizure med
gabapentin
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.
prednisone
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
capsaicin
Trade name: Zostrix
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
tolerance
compulsive, uncontrollable dependence on a substance to such a degree taht cessation causes several emotional, mental, and physiologic reactions
addiction
non-pharmacologic method of pain relief, using electric current
TENS