Narcotics

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Author:
medic11student
ID:
21679
Filename:
Narcotics
Updated:
2010-06-01 22:12:16
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Medic Drugs
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Description:
JHPC Medic 11
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  1. FENTANYL (SUBLIMAZE) / NARCOTIC ANALGESIC
    • Fentanyl is a potent synthetic narcotic analgesic
    • - more rapid and less prolonged action
  2. FENTANYL (SUBLIMAZE) / NARCOTIC ANALGESIC Indications
    Induce sedation for endotracheal intubation
  3. FENTANYL (SUBLIMAZE) / NARCOTIC ANALGESIC Contraindicatiosn
    • 1. MAO inhibitors within 14days
    • 2. Myasthenia gravis
  4. FENTANYL (SUBLIMAZE) / NARCOTIC ANALGESIC Precautions
    • 1. Increased intracranial pressure (ICP)
    • 2. COPD
    • 3. Respiratory problems
    • 4. Hepatic & renal insufficiency
    • 5. elderly
    • 6. debilitated
  5. FENTANYL (SUBLIMAZE) / NARCOTIC ANALGESIC Dosage/Route
    25-100 mcg slowly IV (2-3min)
  6. MORPHINE SULFATE (MORPHINE) / NARCOTIC ANALGESIC
    Morphine sulfate is a potent analgesic and sedative that causes some vasodilation, reducing venous return, and reduced myocardial oxygen demand
  7. MORPHINE SULFATE (MORPHINE) / NARCOTIC ANALGESIC Indications
    • 1. Moderate to severe pain
    • 2. MI
    • 3. to reduce venous return in pulmonary edema
  8. MORPHINE SULFATE (MORPHINE) / NARCOTIC ANALGESIC Contraindications
    • 1. Hypersensitivity to opiates
    • 2. Undiagnosed head or abdominal injury
    • 3. Hypotension
    • 4. Volume depletion
    • 5. Acute bronchial asthma
    • 6. COPD
    • 7. Severe respiratory depression
    • 8. Pulmonary edema due to chemical inhalation
  9. MORPHINE SULFATE (MORPHINE) / NARCOTIC ANALGESIC Precautions
    • - Elderly, children, debilitated patients.
    • - Naloxone (Narcan) should be readily available to counteract the effects of morphine
  10. MORPHINE SULFATE (MORPHINE) / NARCOTIC ANALGESIC Dosage/Route
    Pain : 2.5-15mg IV; 5-20mg IM/Subcutaneous

    AMI/PE : 1-2mg/6-10 min to response
  11. NALOXONE (NARCAN)/ NARCOTIC ANTAGONIST
    Naloxone is a pure narcotic antagonist that blocks the effects of both natural and synthetic narcotics and may reverse respiratory depression
  12. NALOXONE (NARCAN)/ NARCOTIC ANTAGONIST Indications
    • 1. Narcotic and synthetic narcotic overdose
    • 2. Coma of unknown origin
  13. NALOXONE (NARCAN)/ NARCOTIC ANTAGONIST Contraindications
    • 1. Hypersensitivity to the drug
    • 2. Non-narcotic induced respiratory depression
  14. NALOXONE (NARCAN)/ NARCOTIC ANTAGONIST Precautions
    • - Possible dependency
    • - Half life that is shorter than that of most narcotics, patient may return to OD state
  15. NALOXONE (NARCAN)/ NARCOTIC ANTAGONIST Dosage/Route
    0.4-2 mg IV/IM (2-2.5X dose ETT), repeated every 2-3mins as needed up to 10mg

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