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Cancer and Pain > Pain Medications > Flashcards

Pain Medications Flashcards

(69 cards)

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0
Q

Ketorolac (Toradol)

A

acetic acid derivatives (non-opioid analgesic)

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1
Q

Indomethacin

A

Acetic acid derivative (non-opioid analgesic)

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2
Q

ASA

A

non-opioid analgesic

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3
Q

celecoxib (Celebrex)

A

COX2 Inhibitors (Non-opioid analgesic)

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4
Q

meloxicam (Mobic)

A

enolic acid derivative (non-opioid analgesic)

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5
Q

Non-opioid analgesics work by:

A

blocking peripheral pain impulses causing an analgesic response

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6
Q

Drug types in the category of non-opioid analgesics include (4)

A

salicylates
NSAIDs
acetaminophen
Cox2 inhibitors

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7
Q

Do not take acetaminophen in what type of disease process?

A

severe liver disease

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8
Q

What are contraindications to taking salicylates?

A

bleeding risks
allergy
do not use in children

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9
Q

What are the signs of salicylate toxicity?

A

tinnitus, hearing loss, metabolic acidosis, respiratory alkalosis, CNS depression, hypoglycemia

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10
Q

What are the GI side effects of non-opioid analgesics?

A

dyspepsia, heartburn, nausea (common), vomiting, anorexia, GI bleeding (less common)

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11
Q

What is a renal side effect of NSAIDs?

A

renal failure

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12
Q

What is a hematologic side effect of non-opioids? (not acetaminophen)

A

bleeding, decreased platelet aggregation

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13
Q

What are the nursing care actions for non-opioids?

A

pain assessment and monitoring for side/adverse effects

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14
Q

What should the nurse teach about non-opioid analgesia?

A

administration guidelines
effective pain control strategies
non-pharmacologic options
side effect management

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15
Q

Morphine

A

opioid analgesic

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16
Q

MSIR, MS Contin

A

opioid analgesic

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17
Q

hydromorphone (Dilaudid)

A

opioid analgesic

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18
Q

fentanyl citrate

A

opioid analgesic

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19
Q

codeine

A

opioid analgesic

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20
Q

oxycodone

A

opioid analgesic

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21
Q

oxycontin/oxyIR/combinations (e.g. Percocet)

A

opioid analgesic

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22
Q

hydrocodone combinations (Vicodin, Lortab)

A

opioid analgesic

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23
Q

meperidine

A

opioid analgesic

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24
Morphine is used for:
severe pain
25
What is important to know about Morphine? (3)
It has a high abuse potential It comes in many dosage forms It has extended release options
26
Hydromorphone (Dilaudid) 1 mg is equal to how many mg of morphine sulfate?
8 mg of Morphine Sulfate
27
0.1 mg of fentanyl citrate is equal to how many mg of morphine sulfate?
10 mg morphine sulfate IVP
28
What is important to know about Codiene? (3)
It is less effective than morphine it has a dose ceiling it often causes GI upset
29
Oxycodone is structurally similar to ______ _______.
Morphine sulfate
30
Hydrocodone is a stronger/weaker opioid?
weaker
31
Meperidine has toxic effects on what?
the CNS
32
What are contraindications of opioid therapy? (7)
1. allergy 2. severe asthma 3. respiratory insufficiency 4. elevated ICP 5. morbid obesity and/or OSA 6. myasthenia gravis 7. paralytic ileus
33
What are possible side effects of opioids? (6)
1. itching (most common) 2. nausea/vomiting 3. respiratory depression 4. constipation 5. urinary retention 6. overdose
34
What are important nursing actions related to opioid analgesics?
pain assessment monitor for side/adverse effects careful dose titration monitor for breakthrough pain
35
What patient teaching is important for opioids?
administration guidelines (take as soon as you start to feel pain) effective pain control strategies non-pharmacologic options side effect management
36
Tricyclic antidepressants can be used as:
adjuvant pain therapy
37
SSNRIs can be used as
adjuvant pain therapy
38
anticonvulsants can be used as:
adjuvant pain therapy
39
amitriptyline (Elavil)
TCA used as adjuvant pain therapy
40
imipramine (tofranil)
TCA used as adjuvant pain therapy
41
Venlafexine (Effexor)
SSNRI used as adjuvant pain therapy
42
duloxetine (Cymbalta)
SSNRI used as adjuvant pain therapy
43
bupropion (Wellbutrin)
SSNRI used as adjuvant pain therapy
44
carbamazapine (Tegretol)
Anticonvulsant used as adjuvant pain therapy
45
phenytoin (Dilantin)
Anticonvulsant used as adjuvant pain therapy
46
gabapentin (Neurontin)
Anticonvulsant used as adjuvant pain therapy
47
pregabalin (Lyrica)
Anticonvulsant used as adjuvant pain therapy
48
lamotrigine (Lamictal)
Anticonvulsant used as adjuvant pain therapy
49
Adjuvant pain therapy mostly consists of:
anticonvulsant drugs
50
How do anticonvulsants help with pain therapy?
Decreases CNS transmission resulting in decreased nerve pain
51
How do antidepressants help with pain therapy?
increase serotonin decreasing pain sensation
52
What kind of pain is adjuvant pain therapy used to treat?
neuropathic pain, migraines, adjuvant to muscle pain
53
what are contraindications of adjuvant pain therapy?
These drugs will increase CNS depression from other meds?
54
What side effects could TCAs have?
``` ACH triad (blurred vision, dry mouth, urinary retention) orthostatic hypotension sedation ```
55
What side effects could anticonvulsant medications have?
dizziness, drowsiness, sedated, confusion, diplopia, poor coordination
56
SSNRIs have what possible side effects?
ACH triad (blurred vision, dry mouth, urinary retention) insomnia/sedation headache nausea
57
Nursing care associated with adjuvant pain therapy
pain assessment | monitor for side/adverse effects
58
What patient teaching is important for adjuvant pain therapy?
Administration guidelines effective pain control strategies non-pharmacologic options effects will take time to manifest
59
What is a contraindication of COX2 inhibitors?
cardiac history or risks
60
Opioids work by:
binding to pain receptors in the brain causing an analgesic response
61
What would be a contraindication for COX2 inhibitors?
cardiac history or risks
62
What are contraindications of NSAIDs?
bleeding risks severe renal or hepatic disease do not use in last trimester of pregnancy
63
celecoxib (Celebrex) is usually used for what type of pain if it is not helped by other analgesics?
joint pain
64
Non-Opioids work best for what type of pain?
mild to moderate, primarily work locally
65
How would a nurse assess for severe side effect of NSAIDs?
Renal failure can be assessed by urine output, BUN, creatinine, GFR
66
How should codeine be taken?
with food due to high incidence of GI upset
67
Oxycontin and MS Contin should be given how often?
q24h
68
MSIR and oxyIR should be given how often?
Immediate release, give every 4-6 hours as directed

Cancer and Pain (2 decks)

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