Chpt 17 book

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Chpt 17 book
2012-03-31 14:30:31
Pharm Chpt 17 book

Pharm Chpt 17 book
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  1. Any substance that produces stupor associated with analgesia and specifically refers to opioids
  2. Agonist means
    to do
  3. Antagonist means
    to block
  4. The main opioid drug to which all other pain management drugs are compared
  5. Why would agonist-antagonists be preferred over agonist?
    Risk for abuse is less
  6. What is a common agonist-antagonist in offices?
  7. Narcotics treat what kind of pain
    moderate to severe acute pain
  8. What are the actions of the narcotic agonist?
    Slowed peristalsis, reduced cough reflex and hypotension
  9. What do agonist analgesics do?
    Prevent painful feelings in the CNS
  10. What drug would be used for someone who has difficulty breathing caused by heart failure or fluid in the lungs?
    Narcotic agonist analgesics
  11. Adverse reactions to narcotic analgesic drugs
    bradycardia, hypotension, anorexia, confusion, dry mouth, euphoria, fainting, vomiting, pruritus, skin rash, skin itch, slow breathing, SOB
  12. What variables are watched most closely for signs of overdosage?
    Sleepiness and respiratory rate
    Ash about pain, assess pain, believe patient, choose pain control options, deliver interventions, empower patients enable them to control course
  14. When should narcotic agonists not be used
    stomach or abdomen problem, increased pressure in eyes, head injury or loss of consciousness
  15. Geriatric considerations with opioids
    should be placed on bowel regimen when opioids are started, propoxyphene and tramadol and methadone must be used with caution
  16. Once agonist is metabolized,
    pt may feel more pain
  17. Cough reflex is reduced by these drugs, so
    may be a problem in patients with lung disease
  18. Narcotics may produce a faster heart rate in patients with lung disease and a faster heart rate in people with a particular heart rhythm problem
  19. Oral narcotic agents take effect
    in 15-20 minutes
  20. Opioids given PO are much less effective than those given by injection but they last longer than injection meds
  21. Narcotic agonists are metabolized by the
    liver and leftovers through kidneys; 90% of drug is out within 24 hours
  22. When is taking agonist more effective?
    Before the patient has severe pain
  23. Diet changes when taking agonists
    increase fluid intake and fiber
  24. When taking the first doses,
    pt should lie down for a short period to prevent nausea
  25. Each dose of Demerol should be taken
    in one half glass of water because if not diluted, can exert a toxic anesthetic effect on mucous membranes
  26. Protect morphine from
    light and freezing
  27. AA narcotics
    act through the CNS, possibly through limbic system
  28. AAs
    usually act like morphine in producing analesgia, euphoria, and respiratory and physical depression; may compete with other narcotics so may produce withdrawal symptoms in pts who are dependent on narcotics; less likely to be abused than pure narcotic agonists
  29. Other chemicals that work on pain centers
    acetaminophen, aspirin, caffeine, barbiturate
  30. Percocet
    oxy and acetaminophen
  31. Percodan
    oxycodone and aspirin
  32. Vicoden
    hydrocodone bitartrate and acetaminophen
  33. Empirin with codeine
    aspirin and codeine
  34. Fiorinal with codeine
    codeine, aspirin, caffeine, butalalital
  35. Tylox
    oxycodone and acetaminophen
  36. Only AA in oral form
  37. Names of AAs
    buprenex, stadol, nubain, talwin (pentazocine)
  38. Mild to moderate pain
    propoxyphene, ethoheptazine, methotrimeprazine
  39. Excedrin
    aspirin, acetaminophen, caffeine
  40. Propoxyphene
  41. Methotrimeprazine