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OPIOID

PHARM

QuestionAnswer
OPIOD ANALGESTIC IE Codeine,Dilaudid, fentneal (100x more powerful then morphine ), demerol(rary used causes sieziers),Methadone,Hydrocodone,Oxyxodone, Morphine,Tramadol,Oxymorphone
OPIOD ANALGESTIC action stimulate opiod receptors in the CNS to produce anaglesia, sedation and euphoria
OPIOD ANALGESTIC usues txt for opiod dependance (methadone)- longer half life -prevents crash relief persistant cough imporve repsiorty comfort (morphine end of life care roxinol)
OPIOD ANALGESTIC precautions and contriditions eldery patients slwoer metabolism/clearnace risk for repitory depresion
OPIOD ANALGESTIC s/a NVC, Euphoria, sedation
OPIOD ANALGESTIC adveerse effects depresed cough relfex resp deperession (life threating if left untreated )
OPIOD ANALGESTIC interactions OTC cough/ cold alcohol seditives barbituates
OPIOD ANALGESTIC toxixity and theraputic leval respitory depression and CNS ALIGN WITH SIDE/AFFECTS
OPIOD ANALGESTIC ANTIDOTE NARCAN
OPIOD ANALGESTIC PT TEAHCING monitor for tolerance and dependancy use high fiber diet to maange contipation drink fluids avoiddriving/ hvy machinery store safley
OPIOD ANALGESTIC signs and symptoms to use NARCAN S/S pupils pinned (myosis) resp less than 10 LOC *HOLD RX CALL DR*
OPIOD ANALGESTIC MONITOR H2O RR INCREASE FLUIDS / STOOL SOFTNERS AND FALLS
PRIORITY ABC A- AIRWAY AND BREATHING -dpresses CNA in brain stem lowers resp depression less than 10 B BLOOD PRESSURE- cause low BP vaso dialation ortho hypotension (orthohyertension "postural hypotension") rise slow , VS sitting laying standing -paramters
"c" in ABC C constipation Stool softner , fluid and fiber
Opiod Antagonists- IE Narcan(naloxone)
Opiod Antagonist action prevents or reverses ther effects of opiods specifically targets opiod receptors to block opiod activity
Narcan(naloxone) has short life / moit for hours once given for relapse if Especially if IV
Opiod Antagonist- precautions and contridictions do not admisiter to neootates avoid vallium (diazeppam ) or ativan (lorazepam) durin acute withdrawl phase ALL PAMS
Opiod Antagonist S/A Tachycardia NV
THE NARCAN WAKE UP Patient will retenr intently and intensly agitation , comative, confused, vomit have suction besdie and enough help
Opiod Antagonist patient teaching avoiding opiod/street drug explain return overdose symptoms after narca ecourage f/u care ven if sympoms imporve
Anesthetic DRUGS-EXAMPLE Lidocane and bupiacaine
Anesthetic DRUGS used also llocal anesthetic - smal laseration topoical rx to cut
Anesthetic DRUGS- 4 types reginal spinal conduction general
reginal near nerves , blocks sensation in larger areas
spinal L2 - lower abdomin perineaum and legs
conduction epidural
general ful body anestetia
Created by: mmishue
 

 



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