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21 Cards in this Set
- Front
- Back
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analgesics
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relieve pain without loss of consciousness
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analgesics
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What drug is used to treat pain?
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narcotic
non-narcotic |
What are the two classifications of analgesic drugs?
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narcotic
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opiod
including synthetic substitutes |
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non-narcotic
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salicylate, acetaminophen, or NSAID
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narcotic
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narcotic or non-narcotic?
acts on CNS to relieve pain |
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narcotic
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narcotic or non-narcotic?
For SEVERE pain regardless of origin. |
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narcotic
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Associated with tolerance, abuse, and physical dependence.
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non-narcotic
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narcotic or non-narcotic?
acts on periphery to releive pain as well as on CNS (decreases release of prostaglandins that sting or cause irritation) |
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non-narcotic
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narcotic or non-narcotic?
For low to moderzate intensity of pain (headache, arthritis, peripheral pain) |
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non-narcotic
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narcotic or non-narcotic?
Not generally abused and does not cause addiction. |
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narcotic analgesics
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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 |
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antitussive
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suppresses cough center in brain; does not relieve source of irritation.
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1. Relief of pain
2. antitussive 3. Chronic or acute diarrhea |
What are therapeutic uses of narcotic analgesics?
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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?
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Side effects and toxicity of Narcotics
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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. |
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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. |
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Caution for narcotics
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- 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. |
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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. |
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Withdrawl symptoms of narcotics
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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.
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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.
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What are the withdrawl symptoms of narcotics?
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