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Pain Meds

Chpt 10

QuestionAnswer
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
Created by: msivola
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