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Module 4

Opioids, NSAIDS

Generic NameTrade NameClassTherapeutic UsesNursing ImplicationsOther infoSide EffectsAdverse EffectsPrecautions
Fentanyl Duragesic Same as morphine Same as morphine Same as morphine Think of patches given at clinic Same as morphine Same as morphine Same as morphine
Methadone Dolophine Same as morphine tx heroine w/drawal, Same as morphine Same as morphine Same as morphine Same as morphine Same as morphine
Heroin Same as morphine
Codeine NONE Mod. to Strong Opioid agonist Cough Suppression
Oxycodone Tylox Mod. to Strong Opioid agonist Same as morphine, long-lasting effects Same as morphine Same as morphine Same as morphine
Hydrocodone Lortab Mod. to Strong Opiate
Propoxyphene Darvon Darvocet Mod. to Strong Opiates
LidoCAINE XyloCAINE Local Anestheic: Amide Bond >Anesthetic >Dysrhythmias Effects extended if given w/oral Epi(saw this is oral sx!) Epi is a catecholamine, meaning it vasoconstricts, so it helps reduce bleeding and increase anestheticaffect of Lidocaine + prevents toxicity by preventingsystemic release)
MORPHine AstraMORPH Strong Opioid Analgesic/ Narcotic Pain relief (Drowsiness,Euphoria, mental clouding, Anxiety reduction) ALWAYS CHECK RESP. RATE PRIOR to administration. Toxicity: Narcan or Revex to tx. Morphine attaches to MU receptor and blocks pn perception in CNS. Tolerance and Physical Dependence can develop. RESP. DEPRESSION! Constipation, Orthostatic Hypotension, Urinary retention, Biliary colic Emesis, Increased Intracranial Pressure, Sedation, Miosis, neurotoxicity Decreased Resp. reserve, Pregnancy, Head injury
Meperidine Demerol Synthetic, but Same as morphine Same as morphine Same as morphine Same as morphine Same as morphine Same as morphine Same as morphine
Hydromorphone Dilaudid Same as morphine Same as morphine Same as morphine 5xs the strength of morphine! Same as morphine Same as morphine
Created by: ederight