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41 Cards in this Set
- Front
- Back
- Indications: Severe pain, Pulmonary Edema, and pain associated with MI
- Binds to opiate receptors in the CNS; alters the perception and response to painful stimuli while producing CNS depression - Schedule II; Pregnancy Cat C |
Morphine
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- CI: hypersensitivity and known alcohol intolerance; cautious if use if: head trauma, geriatrics, OB, peds, MAOIs, ETOH
- AR: respiratory depression, confusion, sedation, hypotension, constipation - Patient teaching: Tell family not to give to sleeping pt. |
Morphine
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- CI: hypersensitivity, known ETOH tolerance, pregnancy
- AR: confusion, sedation, hypotension, constipation - Schedule 2, Pregnancy Cat C |
Methadone
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- Severe pain, suppresses withdrawal symptoms in opioid detoxification
- Binds to opiate receptors in the CNS; alters perception and response to painful stimuli while producing CNS depression, decreases severity of pain |
Methadone
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- Moderate or severe pain (alone or with nonopioid); anesthesia adjunct, analgesic during labor; pre-op sedation, rigors
- Binds to opiate receptors in the CNS; alters the perception and response to painful stimuli while producing generalized CNS depression |
Demerol (Meperidine)
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- CI: hypersensitivity, pregnancy/lactation, recent MAO therapy
- AR: seizures, constipation, sedation, hypotension, N/V |
Demerol (Meperidine)
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- Antidote
- Reversal of CNS depression and respiratory depression because of suspected opioid OD - Completely blocks the effects of opioids, including CNS and respiratory depression, without producing any agonist effects |
Narcan
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- CI: hypersensitivity
- AR: hypertension/hypotension, ventricular fibrillation, ventricular tachycardia, N/V |
Narcan
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- Moderate to severe pain, analgesic during labor, sedation before surgery, and supplement to balance anesthesia (Mixed agonist/antagonist)
- Binds to opiate receptors in the CNS, alters the perception and response to painful stimuli while producing generalized CNS depression |
Nalbuphine
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- CI: hypersensitivity, If given to patients addicted to opioids, may produce ACUTE WITHDRAWAL SYNDROME
- AR: dizziness, headache, sedation, dry mouth, N/V, clammy feeling, sweating |
Nalbuphine (Nubain)
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- Moderate to severe chronic pain needed continuously for an extended time period; not recommended for post-op, mild, or intermittent pain
- Binds to opiate receptors in the CNS, altering the response to and perception of pain |
Fentanyl
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- CI: hypersensitivity, known intolerance, OB/Geri/Peds
- AR:apnea, confusion, sedation, weakness, anorexia, sweating - Patch worn; children may die from wearing the wrong patch |
Duragesic (Fentanyl)
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- Moderate to moderately severe pain
- CI: hypersensitivity, acute-severe sedation with alcohol, OB - AR: seizure, dizziness, drowsiness, HA, somnolence, constipation, N/V |
Ultram (Tramadol)
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ASA o MI/TIA Prevention
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81-325 mg/day
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ASA OA/RA
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2-6g/day
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ASA Pain/Fever
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325-650mg/day
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ASA Rheumatic Fever
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5-8g/day
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- Moderate to severe chronic pain needed continuously for an extended time period; not recommended for post-op, mild, or intermittent pain
- Binds to opiate receptors in the CNS, altering the response to and perception of pain |
Fentanyl
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- CI: hypersensitivity, known intolerance, OB/Geri/Peds
- AR:apnea, confusion, sedation, weakness, anorexia, sweating - Patch worn; children may die from wearing the wrong patch |
Duragesic (Fentanyl)
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- Moderate to moderately severe pain
- CI: hypersensitivity, acute-severe sedation with alcohol, OB - AR: seizure, dizziness, drowsiness, HA, somnolence, constipation, N/V |
Ultram (Tramadol)
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- Inflammatory disorders: RA, OA, mild to moderate pain (may be combined with oral opiod), fever, prophylaxis of TIA attacks and MI prevention; anti-inflammatory; antipyretic; antiplatelet; (low dose cardioprotective)
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ASA
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- Produces analgesia and reduce inflammation and fever by inhibiting the production of prostaglandins; aspirin decreases plately aggregation
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ASA
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- CI: hypersensitivity, bleeding disorders, children with viral infections (Reye’s syndrome)
- AR: GI bleeding exfollative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, anaphylaxis, laryngeal, dyspepsia, epigastric distress, heartburn, nausea |
ASA
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ASA o MI/TIA Prevention
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81-325 mg/day
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ASA OA/RA
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2-6g/day
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ASA Pain/Fever
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325-650mg/day
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ASA Rheumatic Fever
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5-8g/day
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ASA TIA
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1300MG/DAY
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- Mild to moderate pain or dysmenorrheal; inflammatory disorders (RA & OA); lowering of fever
- Inhibits prostaglandin synthesis - CI: hypersensitive, active GI bleeding |
Advil (Ibuprofen)
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- AR: GI bleeding, hepatitis, exfollative dermatitis, stevens-johnson syndrome, toxic epidermal necrolysis, allergic rxns, HA, constipation, dyspepsia, N/V
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Advil
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- Mild pain, fever (NOT USED FOR ANTI-INFLAMMATORY)
- Inhibits the synthesis of prostaglandins that may serve as mediators of pain and fever, primarily in the CNS |
Tylenol
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- AE: hepatic failure, renal failure, blood dyscrasia
- Max 24 hour dose – 4 grams - AR: hepatic failure, hepatotoxcity, liver or renal disease |
Tylenol
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- Antidote to Tylenol
- AR: angioedema, bronchospasm, N/V, pruritis, rash, urticaria |
Acetylcysteine (mucomyst)
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- Topical cream
- Blocks substance P - AR: cough, transient burning |
Zostrix (capsaicin)
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- Herbal for osteoarthritis, ischemic heart disease, hyperlipidemia
- May serve as building block of articular cartilage - CI: pregnancy/lactation - AR: heartburn, N/V, bleeding, allergic rxns, edema, hair loss |
chondroitin
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- Short term management of pain
- AR: GI bleed, exfollative dermatitis, Stevens-Johnson syndrome, toxic epidermal necrolysis, anaphylaxis, drowisness |
Keratolac (Toradol)
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- Chronic gout! Prevention of attack of gouty arthritis and nephropathy
- Inhibits the production of uric acid - CI: hypersensitivity, Pregnancy/lactation - AR: Rash |
Allopurinal (Zyloprim)
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- Acute gout!
- CI: pregnancy/lactation, severe renal or GI disease - AR: agranulocytosis, aplastic anemia, N/V/D |
Colchicine
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- Acute treatment of migraines and cluster HA
- CI: pts with ischemic heart disease, uncontrolled HTN, ischemic HD, pregnancy/lactation, concurrent antidepressant use - AR: dizziness, vertigo, tingling, warm sensation, injection site reaction |
Sumatriptan (Imitrex)
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- Vascular HA, migraine, cluster HA
- CI: serious infections, PVD, CV dx. Uncontrolled HTN, pregnancy/lactation - AR: rhinitis, abdominal pain, MI, HTN, neuro changes, N/V, extremity stiffness, muscle pain, numbness/tingling |
DHE 45
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- Vascular HA, migraine, cluster HA
- AR: Abdomin pain, MI, HTN, neurological changes - CI: ischemic heart, uncontrolled HTN, PVD, renal or liver disease o Larger doses may cause vasodilation |
Ergotamine (Ergostat)
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