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Flashcards in Pain Meds Deck (49)
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0
Q

Sublimaze

Another Name

A

Fentanyl

1
Q

Fentanyl

Another Name

A

Sublimaze

2
Q

Fentanyl (Sublimaze)

Class

A

Narcotic Analgesic

3
Q

Fentanyl (Sublimaze)

Description

A

Potent synthetic narcotic analgesic similar to morphine and meperidine but with more rapid and less prolonged action

4
Q

Fentanyl (Sublimize)

Indication

A

Induce sedation for endotracheal intubation, sever pain

5
Q

Fentanyl (Sublimize)

Contraindications

A

MAO inhibitors within 14 days, myasthenia gravis

6
Q

Fentanyl (Sublimize)

Precautions

A

Increased intracranial pressure, elderly, debilitated, COPD, respiratory problems, hepatic and renal insufficiency

7
Q

Fentanyl (Sublimize)

Dose/Route

A

1-2 mcg slowly IV (2-3 min) max 200 mcg

Pedi: 0.5-1.0 mcg/kg slow IV/IM

8
Q

Butorphanol

Another Name

A

Stadol

9
Q

Stadol

Another Name

A

Butorphanol

10
Q

Butorphanol (Stadol)

Class

A

Synthetic Narcotic Analgesic

11
Q

Butorphanol (Stadol)

Description

A

Centrally acting synthetic narcotic analgesic about 5x more potent then morphine. Schedule IV narcotic

12
Q

Butorphanol (Stadol)

Indications

A

Moderate to Severe pain

13
Q

Butorphanol (Stadol)

Contraindications

A

Hypersensitivity, head injury, undiagnosed abdominal pain

14
Q

Ketorolac

Another Name

A

Toradol

15
Q

Toradol

Another Name

A

Ketorolac

16
Q

Ketorolac (Toradol)

Class

A

Nonsteroidal Anti-inflammatory Drug (NSAID)

17
Q

Ketorolac (Toradol)

Description

A

Injectable NSAID that exhibits analgesic, anti-inflammatory and antipyretic properties without sedative effects

18
Q

Ketorolac (Toradol)

Indications

A

Mild or moderate pain

19
Q

Ketorolac (Toradol)

Contraindications

A

Hypersensitivity to aspirin or other NSAIDs and asthma

20
Q

Ketorolac (Toradol)

Precautions

A

Peptic ulcers, renal or hepatic impairment or elderly

21
Q

Ketorolac (Toradol)

Dose/Route

A

30-60 mg IV/IM

22
Q

Morphine

Another Name

A

Morphine Sulfate

23
Q

Morphine Sulfate

Another Name

A

Morphine

24
Q
Morphine Sulfate (Morphine)
Class
A

Narcotic Analgesic

25
Q
Morphine Sulfate (Morphine)
Description
A

Potent analgesic and sedative that causes some vasodilation, reducing venous return, and reduced myocardial oxygen demand

26
Q
Morphine Sulfate (Morphine)
Indications
A

Moderate to severe pain and in ACS and to reduce venous return in pulmonary edema

27
Q
Morphine Sulfate (Morphine)
Contraindications
A

Hypersensitivity to opiates, undiagnosed head or abdominal injury, hypotension, volume depletion, acute bronchial asthma, COPD, severe respiratory depression, pulmonary edema due to chemical inhalation

28
Q
Morphine Sulfate (Morphine)
Precautions
A

Elderly, children, debilitated patients. Naloxone should be readily available to counteract effects

29
Q
Morphine Sulfate (Morphine) 
Dose/Route
A

Pain: 2.5-15 mg IV; 5-20 mg IM/SQ
Pedi: 0.05-0.1 mg/kg IV
AMI or PE: 1-2 mg/ 6-10 min to response

30
Q

Nalbuphine

Another Name

A

Nabain

31
Q

Nubain

Another Name

A

Nalbuphine

32
Q

Nalbuphine (Nubain)

Class

A

Narcotic Analgesic

33
Q

Nalbuphine (Nubain)

Description

A

Synthetic narcotic analgesic equivalent to morphine, respiratory depression does not increase with higher dose

34
Q

Nalbuphine (Nubain)

Indication

A

Moderate to severe pain

35
Q

Meperidine

Another Name

A

Demerol

36
Q

Demerol

Another Name

A

Meperidine

37
Q

Meperidine (Demerol)

Class

A

Narcotic Analgesic

38
Q

Meperidine (Demerol)

Description

A

Synthetic narcotic with sedative and analgesic properties comparable to morphine but without hemodynamic side effects

39
Q

Meperidine (Demerol)

Indications

A

Moderate to severe pain

40
Q

Meperidine (Demerol)

Dose/Route

A

25-50 mg IV; 50-100 mg IM

Pedi: 1 mg/ kg IV/IM

41
Q

Nitrous Oxide 50:50

Another Name

A

Nitronox

42
Q

Nitronox

Another Name

A

Nitrous Oxide 50:50

43
Q
Nitrous Oxide (Nitronox) 
Class
A

Gaseous analgesic and anesthetic

44
Q
Nitrous Oxide (Nitronox) 
Description
A

Exact mechanism unknown, effects central nervous system phospholipids

45
Q
Nitrous Oxide (Nitronox)
Indications
A

Moderate to severe pain, anxiety, apprehension

46
Q
Nitrous Oxide (Nitronox)
Contraindication
A

Impaired level of consciousness, head injury, inability to follow or comply with instructions

47
Q
Nitrous Oxide (Nitronox)
Precautions
A

Drowsiness, respiratory depression, apnea, malignant hyperthermia

48
Q
Nitrous Oxide (Nitronox)
Dose/Route
A

Instruct pt to inhale deeply through demand valve and mask or mouthpiece
Pedi: same