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10 Cards in this Set

  • Front
  • Back
list the 5 categories of Narcotic Analgesics
Natural Opium Alkaloids
Synthetic opiate derivatives
Synth opiate-like
Synth opiate like w lo addiction/potency
Narcotic antagonist
what is common among all Narcotic/Analgesics
alpha-phenyl-N-methyl-piperdine
list natural opium alkaloids
Morphine
codeine
list synthetic derivatives of opiates
Dihydromorphone (dilaudud)
heroin
Methyldihydromorphonone (metopon)
Hydrocodone (hycodan)
list synth opiate like drugs
Phenzocine (Prinadol)
Miperidine (demerol)
Alphaprodine (Nisentil)
Diphenoxylate (atropine/limotil)
Methadone (Dolophine)
levorphanol (levo-dromoran)
fentanyl (Sublimaze)
Darvin
Zactane
Talwin
Stadol
nubain

these are all _____
synth opiate like drugs w low potency
List Narcotic antagonists
nalorphine (nalline)
Levallorphan (lorfan)
Naloxone Hydrochloride (narcan)
In addition to pain relief narcotic analgesics also

a) suppress cough
b) cause broncho-constrixn
c) increase BP
d) release histamine
do NOT increase BP - narcotics can cause orthostatic hypotension but will not affect BP or HR or rhythm when supine

also:
dilate periph BVs (histamine)
constrict pupils (lite sensitive)
vestibular sensitivity (vomit)
Delay digestions -> constipation
decrease urine output
all of the following may be depressed w narcotic analgesics except

a) ADH
b) ACTH
c) FSH
d) TSH
ADH- released to decreased urine output
List cautionary adverse affects of narcotic analgesics
severe respiratory depression/arrest, coma, pulm edema, hypothermia, cardiac arrest, hypoxia
pruritis/itch, anaphalaxis
orthostatic hypotension, syncope
increased transaminary levels