Save
Busy. Please wait.
Log in with Clever
or
show password
Forgot Password?
Don't have an account?  Sign up 
Sign up using Clever
or
Username is available taken
show password


Make sure to remember your password. If you forget it there is no way for StudyStack to send you a reset link. You would need to create a new account. Your email address is only used to allow you to reset your password. See our Privacy Policy and Terms of Service.

Already a StudyStack user? Log In

Reset Password
Enter the associated with your account, and we'll email you a link to reset your password.
focusNode
Didn't know it?
click below
 
Knew it?
click below
Don't Know
Remaining cards (0)
Know
0:00
edit
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.

  Normal Size     Small Size show me how

Analgesic Agents

QuestionAnswer
Agonist Binds with receptors to activate and produce MAXIMUM response to individual receptors.
Partial agonist Binds with receptors to produce PARTIAL response.
Agonist/Antagonist Produces mixed effects; acts as agonist at one type of receptor and competitive agonist at the other
Agonist drugs (Pure); Morphine. (Semi-synthetic);Oxymorphone, Hydromorphone, Heroin. (Synthetic); Meperidine, Levorphanol Tartrate, Methadone
Partial Agonist (Pure); Codeine. (Semi-synthetic); oxycodone, hydrocodone. (Synthetic) Propoxyphene.
Agonist/Antagonist mix (Semi-synthetic) Nubain.
Indications for use of Morphine MI (peripheral vasodilation, decrease cardiac workload). Acute pulmonary edema (peripheral vasodilation, decreased cardiac workload, increased cardiac function, decreased lung fluid).
Morphine w/ Codeine Depression of cough center
Opiods (in general) to alleviate mild - moderate pain, antidiarrheal, reduce pre-op anxiety
Effects analgesia, drowsiness, change in mood and euphoria
How it works Decrease pain by stimulating opiate receptors in the CNS, producing analgesia and altering perception of and emotional response to pain.
Administration PO, IM , IV, PCA, intraspinal, transdermal (patches), transmucosal (rectal, nasal, sublingual).
Methadone Used for detox and maintenance of Heroin, Opium, and other opiod addictions, to decrease intensity of withdrawal symptoms.
Step 1: non-opiods initial for mild pain. (Acetaminophen, Aspirin, Ibuprofen, Naproxen, Ketorolac)
Step 2: opiods for mild to moderate pain pain persists or increases, add step 2 . (Codeine, Oxycodone, Hydrocodone, Meperidine, Propoxyphene HCL, Tramadol).
Step 3: opiods for moderate to severe pain pain persists or increases, replace step 2 with 3 and continue step 1. (Morphine, Oxycodone, Methadone, Hydromorphone, Oxymorphone, Levorphanol, Fentanly, Stadol, Nubain, Dalgan)
Adjuvant Drugs Used in conjunction to enhance effects. (Tricyclic, Antidepressants, Anticonvulsants, Antihistimine, Caffeine, Cortocosteroids, Benzodiazepines, Dextroamphetamines)
Most common side effects Faintness, Fatigue, Constipation, Sedation, Nausea, Vomiting, Diaphoresis, Hypotension, Itching with epidurals.
Least common side effects Dry mouth, headache, urinary retention, abdominal cramping, respiratory depression (especially with epidurals, and PCA's). Pt's with CNS injury, head injury, and COPD have resp problems most frequently.
Adverse Reactions Seizures, Tinnitus, Jaundice, Pruritus (facial edema, swelling, hives, itching), resp depression, confusion, tachycardia.
Tolerance Need for increased opiod dose overtime to acheive same effects.
Agents that interact with opiods Morphine & Cimetidine (increased CNS, decreased RR). Morphine &Esmolol (esmol toxicity, bradycardia, hypotension). Morphine & other CNS depressants (increase RR & decrease CNS). Talwin and Darvon and tobacco (increased dose needed)
Contraindication Pt's with acute respiratory distress
Caution Clients with impaired hepatic or renal function
Implementation Monitor response to drug, VS (RR Q2), LOC, bowel sounds (usually slowed by meds), U/O, s/s overdose.
Education Orthostatic BP and safety, driving, increased fluid intake, stool softener prn, no alcohol
Created by: hgladle
Popular Pharmacology sets

 

 



Voices

Use these flashcards to help memorize information. Look at the large card and try to recall what is on the other side. Then click the card to flip it. If you knew the answer, click the green Know box. Otherwise, click the red Don't know box.

When you've placed seven or more cards in the Don't know box, click "retry" to try those cards again.

If you've accidentally put the card in the wrong box, just click on the card to take it out of the box.

You can also use your keyboard to move the cards as follows:

If you are logged in to your account, this website will remember which cards you know and don't know so that they are in the same box the next time you log in.

When you need a break, try one of the other activities listed below the flashcards like Matching, Snowman, or Hungry Bug. Although it may feel like you're playing a game, your brain is still making more connections with the information to help you out.

To see how well you know the information, try the Quiz or Test activity.

Pass complete!
"Know" box contains:
Time elapsed:
Retries:
restart all cards