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21 Cards in this Set

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analgesics
relieve pain without loss of consciousness
analgesics
What drug is used to treat pain?
narcotic
non-narcotic
What are the two classifications of analgesic drugs?
narcotic
opiod

including synthetic substitutes
non-narcotic
salicylate, acetaminophen, or NSAID
narcotic
narcotic or non-narcotic?

acts on CNS to relieve pain
narcotic
narcotic or non-narcotic?

For SEVERE pain regardless of origin.
narcotic
Associated with tolerance, abuse, and physical dependence.
non-narcotic
narcotic or non-narcotic?

acts on periphery to releive pain as well as on CNS (decreases release of prostaglandins that sting or cause irritation)
non-narcotic
narcotic or non-narcotic?

For low to moderzate intensity of pain (headache, arthritis, peripheral pain)
non-narcotic
narcotic or non-narcotic?

Not generally abused and does not cause addiction.
narcotic analgesics
have morphine-like action

Therapeutic uses

1. Relief of pain - if moderate pain not relieved by aspirin or acetaminophen, may try codeine or demorol.

2. antitussive - suppresses cough center in brain; does not relieve source of irritation.

3. Chronic or acute diarrhea
antitussive
suppresses cough center in brain; does not relieve source of irritation.
1. Relief of pain
2. antitussive
3. Chronic or acute diarrhea
What are therapeutic uses of narcotic analgesics?
1. nausea and vomiting - stimulate emetic center in brain
2. Respiratory depression
3. Constipation- direct effect on GI tract
4. Behavioral changes
5. Physical dependence
What are the side effects and toxic effects of narcotics?
Side effects and toxicity of Narcotics
1. nausea and vomiting - stimulate emetic center in brain
2. Respiratory depression
3. Constipation- direct effect on GI tract
4. Behavioral changes - increased restlessness, excitement, tremors. delirium, insomnia (would indicate that this patient needs a different type of pain reliever.)
5. Physical dependence - withdrawl symptoms - not as serious as with barbiturate - may develop mild dependence within one week.
vomiting
Respiratory
Constipation
restlessness
insomnia
1. nausea and __________- stimulate emetic center in brain
2. _________ depression
3. ____________- direct effect on GI tract
4. Behavioral changes - increased ____________, excitement, tremors. delirium, _________(would indicate that this patient needs a different type of pain reliever.)
5. Physical dependence - withdrawl symptoms - not as serious as with barbiturate - may develop mild dependence within one week.
Caution for narcotics
- use care when depressed respiration is contraindicated, i.e. emphysema.

- Head injuries - unable to determine if drug or injury causing respiratory depression or decreased awareness.
emphysema
respiratory
- use care when depressed respiration is contraindicated, i.e. ____________.

- Head injuries - unable to determine if drug or injury causing ____________ depression or decreased awareness.
Withdrawl symptoms of narcotics
chills and hot flashes, tearing, runny nose and sneezing, drowsiness and yawning, yet anxiety, twitching and cramps (abdominal, back, legs) vomiting and diarrhea, dilated pupils, elevated body temperature, increased pulse and blood pressure. May last 7 - 10 days then physical dependence gone. Worst symptoms about 72 hours.
chills and hot flashes, tearing, runny nose and sneezing, drowsiness and yawning, yet anxiety, twitching and cramps (abdominal, back, legs) vomiting and diarrhea, dilated pupils, elevated body temperature, increased pulse and blood pressure. May last 7 - 10 days then physical dependence gone. Worst symptoms about 72 hours.
What are the withdrawl symptoms of narcotics?