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17 Cards in this Set

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Analgesic Drugs

Medications that relieve pain without the causing loss of consciousness

Analgesic Drugs: Types

Opioids


NSAIDS


Acetaminophen

Nociception

Pathways that transmit pain

Acute Pain

Sudden in onset


Usually subsides once treated

Post out after major operation


Trama - MVA

Chronic Pain

Persistent or recurring


Lasting 3-6 months or longer


Often difficult to treat

Endorphines

Hormones that activate the bodies opioid receptors and release an analgesic effect

> Endogenous morphine like compound (Neurotransmitters)



> Found at the OPIOID RECEPTORS

Substance stimulants that start the pain process (via nerve endings)

Release of


> Bradykinin


> Histmaine


> Prostaglandins


> Serotonin



Tissue Injury

What causes Second Wind Effect in the body?

Endorphins & Enkephalins

What happens if a painful area is massaged or linament ?

Stimulate large sensory fibers = Pain reduced - Same pathways reduces by opiates

Opioid Ceiling Effect

Drug reaches Max analgesic effect - does not improve w/ higher does.

Straight Agonist

> No ceiling effect - higher dose = higher effect to the point of death.

OpiateAgonist - Antagonist

> Analgesic Ceiling Effect


> Pentazocine


> Nalbuphine

Opioid Analgesics

> Narcaotic


Pain relievers containging opium (opium poppy plant) or chem related to opium





C-1

> High abuse potential


> No med use


> Severe Phys & Psych depenence


> Despensed: ONLY w/ approved protocal

C-2

> High Abuse potential


> Yes Med Use


> Phys and Psych Dpnsy


Written Prscpt - no refills - warning label

C-3

> Less C-2


> High Abuse


> Yes Med use


> Med-Low Phys & High Psych Dpnsy


Wrt or Oral Prscpt - exp 6mths - Warning Label

C-4

Less-C-3


Yes Med use


Limited Phy & Psych