Exam 5 - Pain control - Chapter 18

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  1. Name non pharmacologic pain techniques
    • acupuncture
    • massage
    • heat/cold
    • relaxation/meditation
    • chiropractic
    • manipulation
    • TENS
    • Reiki
    • prayer
    • music
  2. S/S of opioid toxicity
    • pinpoint pupils
    • ↓BP
    • ↓O2 Sat
    • Coma
  3. S/S of hydrocodone overdose
    • Sleepiness, LOC (CNS)
    • coldness, clamminess, blueness (Skin)
    • seizures (Muscular)
    • slowed, shallow, stopped (Breathing)
    • Pinpoint pupils
  4. What is the common use for methadone?
    • treating opioid dependence
    • does not cure dependence
    • No euphoria
    • No dependence for methadone
  5. What is the mechanism of action of Morphine?
    binds to mu & kappa receptor sites to produce profound analgesia and euphoria
  6. What are the side effects of Morphine?
    • respiratory depression
    • sedation
    • N&V
    • dysphoria
    • drowsiness
  7. What is the mechanism of action of Fentanyl (Duragesic)?
    • binds to opiate receptors in CNS
    • alters response to pain
    • alters perception of pain
  8. What are the side effects of Fentanyl (Duragesic)
    • confusion
    • sedation
    • weakness
    • apnea
    • respiratory depression
    • constipation
    • dry mouth
    • N&V
  9. What is the mechanism of action of Narcan (naloxone)?
    inhibits mu and kappa receptors
  10. What are the adverse effects of Narcan (naloxone)?
    • rapid loss of analgesia
    • increased BP
    • tremors
    • hyperventilation
    • N&V
    • drowsiness
    • Watch for toxicity in ELDERLY
  11. What is PCA?
    • patient controlled analgesia
    • a continuous subQ device
  12. How does the PCA work?
    • pt can press button to deliver pain med
    • lockout every 5-20 min (depends on drug)
    • lockout amount
  13. What is the mechanism of action of Tylenol (acetaminophen)?
    COX inhibitor
  14. What are the adverse effects of Tylenol (acetaminophen)?
    • hepatotoxicity
    • inhibits warfarin metabolism (warfarin tox)
  15. What is the mechanism of action of ASA?
    • COX inhibitor
    • vasodilation of peripheral blood vessels
  16. What are the adverse effects of ASA?
    • GI ulcer/bleed
    • do not give with anticoag tx
    • ↑ action of oral hypoglycemic drugs
    • many drug-drug interactions

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Author:
cbennett
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330372
Filename:
Exam 5 - Pain control - Chapter 18
Updated:
2017-04-14 03:54:55
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pharmacology
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Exam 5 - Pain control - Chapter 18
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