Nacrotic analgesics Flashcards

(42 cards)

1
Q

what are Phenantherene Opium Alkaloids

A

morphine

codiene

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2
Q

what are Semisynthetic Morphine Derivatives

A

Di-acetyl morphine (heroin)

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3
Q

what are Synthetic Morphine Substitutes

A

fentayl

meperdine

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4
Q

what are Mixed Agonist-Antagonist Narcotic Analgesics

A

nubain (nalbuphine)

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5
Q

Talk about morphine absorption

A

1

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6
Q

Talk about morphine distribution

A

1

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7
Q

what is the drug that treat neontal asphyxia

A

naloxane

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8
Q

What does morphoine lead during pregency & labour

A

Preg : addicition

Labour : neontal asphyxia

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9
Q

Talk about codiene absorption

A

1

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10
Q

Oral biovilability of morphine & codiene

A

morphibe :25-30

codiene : 50

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11
Q

Talk about excretion & metabolism of morphine

A

1

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12
Q

Talk about duration of morphine & codiene

A

morphine :6-8 hrs

codiene : 2-4 hrs

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13
Q

what is percentage of opium at morphine & codiene

A

morphine :10

codiene : 1

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14
Q

what are opiate receptors and their causes

A

1

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15
Q

who lead to constipation at opoid receptorrs

A

muu & delta

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16
Q

What are affects of morphine on CNS

A

11

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17
Q

what are effects of morphine peripheary

18
Q

Talk about tolerance of morphine

19
Q

What does histamine release lead to

A

skin: itching & triple affect

R.C :bronchospasm

20
Q

What does increase of A.D.H lead to

21
Q

Talk about affects of codiene

A

potent : anti-tussive

weaker than morphine

22
Q

what are therupatic uses of morphine

23
Q

what are therupatic uses of codiene

24
Q

what are drugs that are taken with codiene in visceral pain cases

A

asprin & paracetamol

25
what are adverse affects of morphine
10
26
what is the affect of large dose of morphine
decreasing vomiting center
27
what is the affect of small dose of morphine
increasing C.T.Z : vomiting & nausea
28
Talk about acute morphine poising
Manifestations Death Treatment
29
What is the affect of pure O2
apnea
30
what are the elements that used at stomach wash of mrophine
K-permengenate+charocal+MGSO4
31
what is specific morphinic antagonist
naloxane
32
Talk about chronic poisiong of morphine
``` Tolerance Due to Addict Sudden stop Managment ```
33
What is the drug that is gradual substitutent for morphine
methadone
34
Talk about contradictions of morphine
``` 12:- Head injury Acute abdomen Intra cranial tension Pregnency & labour Liver disease Extreme age Myxdema Allergy History of addiction Alone with colic Respiratory diseaes Eplipsey ```
35
Talk about mepierdiene kinetics
50% orally bioavillability Duration Onset
36
Talk about mepiderne dynamics
``` 4 less 4 no Local Large dose ADH Atropine like Drug interaction Antagonized by naloxane ```
37
Who is weaker than morphine by 1/5
codiene
38
Who is lesser than morphine by 1/10
mepridene
39
who is better than morphine at pre-anesthetic medication
mepridene
40
Talk about therupatic uses of mepridene
Obestric anesthesia Alone in colic Pre anesthetic medication Severe visceral
41
example about CNS depressents
Benzodizpiens
42
Talk about naloxane
``` Block actions No effects on CNS depressents Pure antagonists selective on muu receptors 1 hour should be repeated Therupatic uses : 3 ```