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10 Cards in this Set
- Front
- Back
list the 5 categories of Narcotic Analgesics
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Natural Opium Alkaloids
Synthetic opiate derivatives Synth opiate-like Synth opiate like w lo addiction/potency Narcotic antagonist |
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what is common among all Narcotic/Analgesics
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alpha-phenyl-N-methyl-piperdine
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list natural opium alkaloids
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Morphine
codeine |
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list synthetic derivatives of opiates
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Dihydromorphone (dilaudud)
heroin Methyldihydromorphonone (metopon) Hydrocodone (hycodan) |
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list synth opiate like drugs
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Phenzocine (Prinadol)
Miperidine (demerol) Alphaprodine (Nisentil) Diphenoxylate (atropine/limotil) Methadone (Dolophine) levorphanol (levo-dromoran) fentanyl (Sublimaze) |
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Darvin
Zactane Talwin Stadol nubain these are all _____ |
synth opiate like drugs w low potency
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List Narcotic antagonists
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nalorphine (nalline)
Levallorphan (lorfan) Naloxone Hydrochloride (narcan) |
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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 |
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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
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List cautionary adverse affects of narcotic analgesics
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severe respiratory depression/arrest, coma, pulm edema, hypothermia, cardiac arrest, hypoxia
pruritis/itch, anaphalaxis orthostatic hypotension, syncope increased transaminary levels |