Reading...
Play button
Play button
Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
39 Cards in this Set
- Front
- Back
|
which schedule of narcotics has an acceptable medical use with severe restrictions as theses meds could cause severe psychological or physical dependance?
|
schedule 2
|
|
|
what are examples of schedule 2 narcs?
|
oxycontin
ms contin dilaudid ms cocaine |
|
|
percocet and percodan are ..?
schedule 2 schedule 3 schedule 4 |
schedule 2
|
|
|
what are examples of schedule 3 narcotics.?
|
t3
vicodin lortab |
|
|
__ have acceptable medical use, have abuse potential but not as high as other narcs, may have low to moderate physical dependence, or high psychological dependence.
schedule 1 schedule 2 schedule 3 |
schedule 3
|
|
|
__ withdrawal can be fatal due to seizures.
|
benzodiazapine
|
|
|
what schedule drug are valium, xanax, and halcion?
|
schedule 4
|
|
|
what are examples of schedule 5 drugs?
|
lomotil, robitussin AC, navohistine DH, ephedrine
|
|
|
what is the MOA of narcotic analgesics?
|
reduce perception of pain
goes to narcotic receptors in brain (endorphins) mu receptors are for narcs |
|
|
what are the true agonist narcotics?
|
morphine
fentanyl dilaudid oxycodone demerol codeine |
|
|
which narcotic is part of MONA?
|
morphine for analgesic and vasodialator effects
|
|
|
1mg of iv ms is equal to about _mg of po
|
3mg
|
|
|
how long does it take for fantanyl, duragesic patches to work?
|
12-18 hours
|
|
|
t/f
patches are difficult to titrate so if possible give meds orally |
true
|
|
|
demerol is metabolized into a __ byproduct and therefore is only good for about 2 days.
|
neurotoxic byproduct
|
|
|
t/f
oral demerol works well for pain control |
false; is very unpredictable
|
|
|
which has worse respiratory depression...
morphine dilaudid demerol |
dilaudid
|
|
|
which works well with pt's on dialysis?
morphine dilaudid demerol |
dilaudid
|
|
|
which is only available orally?
dilaudid oxycodone fentanyl |
oxycodone
|
|
|
hydrocodone must come with what?
|
tylenol
aspirin motrin |
|
|
dilaudid only comes in what forms?
|
oral and injectable
|
|
|
codeine is a better __ __ than analgesic.
|
cough medicine
|
|
|
pt's with comprimised renal fcn will not tolerate this drug well.
-dilaudid -demerol -morphine |
demerol
|
|
|
what is a good transition drug from parentel narcs to home version or otc's?
|
vicodin
lorcet |
|
|
name 2 partial agonists...
|
nubain
stadol |
|
|
in what forms does stadol come in?
|
parental and nasal spray
|
|
|
what good about stadol NS, and what are the problems with it?
|
immediate effects
very addictive ceiling effect |
|
|
if you give someone on high dose chronic opiods nubain, what is the effect?
|
ooohhhhhhhhhhh a bad day, the antagonist part is going to kill their narcotics off, they will come out of their opiodcoma and be very angry with you! puts your pt into instant severe withdrawal!
|
|
|
a pt with chronic cancer pain will need what type of narcotic treatment?
|
continuous narcs in very large doses prolly key is to titrate to effectiveness adverse effects
|
|
|
what is the most common overdose seen in ER's?
|
tylenol
|
|
|
how do you tx a tylenol overdose
|
gastric lavage (if w/in 1-2 hrs)
activated charcoal acetylcysteine |
|
|
what is the MOA of ultram?
|
binds to the same narcotic receptors
has serotonin reuptake properties few anti-depressant properties lika narcotic, but not |
|
|
what is the max dose of ultram a day?
|
400mg
|
|
|
what are the uses of ultram, and what are the s/e?
|
mild/moderate pain, esp in the abuser
s/e is nausea |
|
|
name 2 narcotic antagonists?
|
narcan
revex |
|
|
when do you use narcotic antidotes?
|
if there is an acute, chronic, accidental, or intentional overdose
|
|
|
what are the risks/benefits of narcotic antagonists?
|
precipitate withdrawal esp, of narcotic tolerant patients.
reactivate pain but the benefit is you will save your pt's life in od situation |
|
|
how much and how often can you give narcan?
|
0.2-0.4mg every 5 min until the pt. wakes up
|
|
|
when is it appropriate to use revex?
|
when narcan is not available as it has a much slower onset
|
