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Module 4
Opioids, NSAIDS
Generic Name | Trade Name | Class | Therapeutic Uses | Nursing Implications | Other info | Side Effects | Adverse Effects | Precautions |
---|---|---|---|---|---|---|---|---|
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 |