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Pain Meds
Chpt 10
Question | Answer |
---|---|
Morphine (Roxanol) | Mod-severe pain-Pure opiod-No analgesic ceiling-1st dose increased risk-Side effects: constipation, N/V, sedation, respiratory depression, pruritus |
Dilaudid (Hydromorphone) | Shorter duration than morphine |
Methadone (Dolophine) | Accumulates-Use caution with elderly |
Levorphanol (Levo-dromoran) | Accumulates |
Fentanyl (Duragesic) | Immediate onset with IV-Very potent doses in mcg |
Oxycodone (Percocet, Percodan, Oxycontin) | used for severe pain-combined with nonopiod for acute, mod. pain |
Hydrocodone (Lortab, Vicodin) | + acetaminophen for mod pain- + ibuprofen for short term |
Codeine (Tylenol 3) | Increased incident nausea and constipation |
Talwin (Pentazocine) | Hallucinations-withdrawal |
Stadol (Butorphanol) | No oral- Hallucinations less than Talwin-withdrawal |
Buprenex (Buprenorphine) | Not readily reversed by naloxone-Lower abuse potential than morphine-withdrawals |
Suboxone | Opiod addiction maintenance-Easier withdrawal-Sublingual |
Corticosteroids | Inflammation-avoid large dose or long term- Transduction |
Antidepressants | Neuropathic pain-monitor anticholinergic adverse effects-monitor blood levels-Modulation |
Antiseizure | neuropathic pain-decrease dose slowly-check liver, renal and blood counts, edema |
Muscle relaxers | neuropathic pain, muscle spasms-weakness, urinary dysfunction-avoid abupt discontinue |
A Adrenergic Agonist | neuropathic pain-sedation, orthostatic, dry mouth-intrathecally |
Anesthetics-Systemic | diabetic neuropathy, neuropathic pain-increase incidence nausea, dizzy, per. numb, tremors-No heart pts. |
Anesthetics-Local | Zostrix-use gloves-erythema, edema, blanching |
Demerol | no long term use- normeperidine build up- irritant to CNS |
NSAIDS | Transduction |
Tylenol 3 | 30mg codeine |
Tylenol 4 | 60mg codeine |
Tylenol 2 | 15mg codeine |
Maximum dose codeine in 24 hours | 360mg |