Pain Meds

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Pain Meds
2012-04-29 17:11:10
Medic 13

Medic 13 Pain meds
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  1. Butorphanol (Stadol)
    - Synthetic Narcotic Analgesic

    - Description: Butorphanol is a centrally acting synthetic narcotic analgesic about 5 times more potent than morphine. A schedule IV narcotic.

    - Indications: Moderate to severe pain

    - Contraindications: Hypersensitivity, head injury, or undiagnosed abdominal pain
  2. Fentanyl (Sublimaze)
    - Narcotic Analgesic

    - Description: Fentanyl is a potent synthetic narcotic analgesic similar to morphine and meperidine but with a more rapid and less-prolonged action.

    - Indications: Induce sedation for endotracheal intubation, severe pain.

    - Contraindications: MAO inhibitors within 14 days, myasthenia gravis.

    - Precautions: Increased intracranial pressure, elderly, debilitated, COPD, respiratory problems, hepatic and renal insufficiency.

    • - Dosage/Route: 25 to 100 mcg slowly IV (2 to 3 mins)
    • - Pedi: 2 mcg/kg slow IV/IM
  3. Ketorolac (Toradol)
    - Nonsteroidal antiinflammatory Drug (NSAID)

    - Description: Ketorolac is an injectable NSAID that exhibits analgesic, antiinflammatory, and antipyretic properties without sedative effects.

    - Indications: Mild or moderate pain

    - Contraindications: Hypersensitivity to aspirin or other NSAIDs, and asthma

    - Precautions: Peptic ulcers, renal or hepatic impairment, or elderly

    - Dosage/Route: 30-60 mg IV/IM
  4. Meperidine (Demerol)
    - Narcotic Analgesic

    - Description: Meperidine is a synthetic narcotic with analgesic and sedative properties comparable to morphine but without hemodynamic side effects.

    - Indications: Moderate to Severe pain

    - Contraindications: Seizure disorders, or acute abdomen without diagnosis.

    - Precautions: Increased intracranial pressure, asthma or other respiratory conditions, supraventricular tachycardias, prostatic hypertrophy, urethral stricture, glaucoma, elderly or debilitated patients, renal or hepatic impairment, hypothyroidsim, or Addison's disease.

    • - Dosage/Route: 25 to 50 mg IV, 50 to 100 mg IM.
    • - Pedi: 1 mg/kg IV/IM
  5. Morphine Sulfate (Morphine)
    - Narcotic Analgesic

    - Description: Morphine sulfate is a potant analgesic and sedative that causes some vasodilation, reduced venous return, and reduced myocardial oxygen demand.

    - Indications: Moderate to severe pain, and in MI, and to reduce venous return in pulmonary edema.

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

    - Precautions: Elderly, children, or debilitated patients. Naloxone should be readily available to counteract the effects of morphine.

    • - Dosage/Route: Pain: 2.5 to 15 mg IV; 5 to 20 mg IM/subcutaneous.
    • -Pedi: 0.05 to 0.1 mg/kg IV
    • - AMI/PE: 1 to 2 mg/6 to 10 min to response.
  6. Nalbuphine (Nubain)
    - Narcotic Analgesic

    - Description: Nalbuphine is a synthetic narcotic analgesic equivalent to morphine, though it respiratory depression does not increase with higher doses.

    - Indications: Moderate to Severe Pain

    - Contraindications: Hypersensitivity, undiagnosed head or abdominal injury.

    - Precautions: Impaired respirations, narcotic dependency.

    • - Dosage/Route: 5 mg IV/IM/subcutaneous, repeat 2 mg doses as needed up to 20 mg.
    • - Pedi: 0.1 to 0.15 mg/kg IV/IM/subcutaneous (rarely used)