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Pain Management
Anesthetics and Narcotics (Nervous System and Pain Management)
| Question | Answer |
|---|---|
| tolerance | when a person no longer responds to a drug in the way they did at first and must take a higher dose of the drug to achieve the same initial effect |
| Schedule 1 | DEA schedule #, has no therapeutic use, such as heroin |
| Which DEA schedule with therapeutic value has the highest possibility of abuse or dependency | Schedule 2 |
| acute pain | type of pain associated with trauma or surgery |
| Somatic pain | throbbing, stabbing, well localized, responds to narcotics, NSAIDS, nerve blockers |
| most noticeable symptom of an overdose of narcotics, by an observer | respiration declines |
| medication in the narcotic realm which is the standard against which all narcotics are measured | morphine |
| administration of medicine that has the highest potency | intravenous |
| side effects of narcotic analgesics | mental confusion, alertness declines, constipation |
| Destruction of schedule 2 medications form | DEA form 106 |
| medication requiring 2 DEA numbers | buprenorphine-naloxone |
| trade name for methadone | Dolophine |
| Generic name for Duramorph, MS Contin, DepoDur | morphine |
| trade name for fentanyl transdermal | Duragesic |
| Generic name for Dolophine | methadone |
| hydrocodone/acetaminophine | generic name for Lorcet, Lortab, Norco, Vicodin |
| Trade name for oxycodone HCI extended release | Oxycontin |
| Trade name for tramadol | Ultram |
| pain | a protective signal to warn of damage or the presence of disease, normal part of healing |
| chronic non malignant pain | cause may or may not be diagnosed, last longer than 3 months, may respond poorly to treat, does not cease when an illness or injury is healed |
| chronic malignant pain | accompanies malignant disease and increases in severity as disease progresses |
| Visceral Pain | aching, throbbing, sharp, gnawing, crampy, deep squeezing, associated with sweating, nausea, vomiting; responds to narcotics, NSAIDS, nerve blockers, antiemetics |
| neuropathic pain | burning, aching, numbing, tingling, viselike, knifelike, constant; responds to antidepressants, anticonvulsants |
| sympathetically mediated pain | occurring when no pain should be felt; responds to nerve blockers |
| narcotic | pain modulating chemical that is generally an opiate |
| effects of narcotics | analgesia, sedation, euphoria, dysphoria |
| treatment of narcotic overdose | assisted ventilation and a narcotic antagonist |
| Buprenex, Subutex | buprenorphine |
| buprenorphine-naloxone | Suboxone, Butrans |
| methadone | Dolophine |
| addiction | disorder leading to continued use of drug despite harm |
| symptoms of addiction | preoccupation with drugs, refusal to taper off drug, strong preference for specific opiod, decreased ability to function |
| dependence | physical and emotional reliance on a drug |
| meds to treat addiction | buprenorphine, puprenorphine-naloxone, methadone |
| substances that act on opioid receptors to produce morphine like effects | opioids |
| widely used in treatment of both cancer related and noncancer related pain | opioid analgesics |
| Therapeutic use for butorphanol (Stadol, Stadol NS) | manage pain during early labor, migraine headaches |
| Therapeutic use for codeine | cough, diarrhea, pain |
| Brand name injectable form of buprenorphine | Buprenex |
| Brand name transdermal patch form for buprenorphine | Butranx |
| Brand name sublingual tablet form for buprenorphine | Subutex |
| side effects of opioids | constipation, drowsiness, dizziness, upset stomach, ear ringing, skin itching or rash |
| Brand name for hydromorphone | Dilaudid |
| generic name for Percoset, Roxicet | oxycodone-APAP |
| opioid generic analgesics (all C2) | morphine, fentanyl transdermal, methadone, hydromorphone, oxycodone HCI ER and oxycodone w/ APAP, hydrocodone/APAP, |
| opioid analgesic that is C4 | Tramadol |
| opioid antagonists | naloxone (Narcan), naltrexone (Vivitrol, Revia) |
| drug-drug interactions w/ opioids | antidepressants, sleep aids, muscle relaxers, benzodiazepines (anxiety meds), anti-seizure meds (epilepsy) |
| acetaminophen-codeine c-3, c-5 | Phenaphen w/ codeine, Tylenol w/ codeine |
| hydrocodone-acetaminophen c -2 | Lorcet, Lortab, Norco, Vicodin |
| meperidine-promethazine c-2 | Mepergan |
| oxycodone-acetaminophen c-2 | Endocet, Percocet, Tylox |
| oxycodone-aspirin c-2 | Endodan, Percodan |
| oxycodone-ibuprofen c-2 | Combunox |
| pentazocine-naloxone c-4 | Talwin NX |
Created by:
ChemeketaPHM2021
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