Pain relief Flashcards

(102 cards)

1
Q

salicylates

A

nonacetylated salicylates NSAID

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2
Q

acetyl salicylic acid

A

Aspirin NSAID

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3
Q

celecoxib

A

COX2 selective NSAID

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4
Q

meloxicam

A

COX2 preferential NSAID

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5
Q

diclofenac

A

nonselective NSAIDs

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6
Q

diflunisal

A

nonselective NSAIDs

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7
Q

etodolac

A

nonselective NSAIDs

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8
Q

flubiprofen

A

nonselective NSAIDs

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9
Q

ibuprofen

A

nonselective NSAIDs

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10
Q

indomethacin

A

nonselective NSAIDs

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11
Q

ketoprofen

A

nonselective NSAIDs

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12
Q

ketorolac

A

nonselective NSAIDs

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13
Q

nabumetone

A

long 1/2 life nonselective NSAIDs

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14
Q

naproxen

A

nonselective NSAIDs

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15
Q

oxaprozin

A

long 1/2 life nonselective NSAIDs

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16
Q

piroxicam

A

long 1/2 life nonselective NSAIDs

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17
Q

sulindac

A

nonselective NSAIDs

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18
Q

tolmetin

A

nonselective NSAIDs

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19
Q

which NSAID is IM?

A

ketorolac

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20
Q

what NSAID should not be used for gout?

A

tolmentin

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21
Q

what NSAID should not be used for inflammation?

A

toradol

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22
Q

acetaminophen

A

APAP

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23
Q

antidote for APAP (acetaminophen)

A

N-actylcysteine

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24
Q

gabapentin

A

neuropathic pain reliever (DM neuropathic pain, post-herpetic neuralgia, or diffuse pain syndromes like fibromyalgia)

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25
pregabalin
neuropathic pain reliever (DM neuropathic pain, post-herpetic neuralgia, or diffuse pain syndromes like fibromyalgia)
26
amitriptyline
migraines & DM neuropathy
27
methyl salicylate
wintergreen oil a topical pain reliever
28
capsaicin
topical pain reliever red pepper derivative for post-herpetic neuralgia or arthritic pain
29
lidocaine 5% patch
topical
30
lidocaine/prilocaine
topical
31
visceral pain?
narcotics (full or partial agonists, avoid mixed agonists)
32
mild pain?
acetaminophen
33
mild inflammatory pain?
NSAIDs
34
neuropathic pain?
mild: topical like capsaicin moderate: amitryptyline, gabapentin, or pregabalin
35
moderate to severe acute or chronic pain?
full agonists
36
morphine
full narcotic agonist
37
methadone
full narcotic agonist (5 day 1/2 life)
38
fentanyl
full narcotic agonist IV, intrathecal, epidural, transdermal, intranasal and oral transmucosal formulations
39
hydromorphone
full narcotic agonist (IV, rectal, PO)
40
oxycodone
full narcotic agonist (PO only)
41
oxymorphone
full narcotic agonist (IV & PO)
42
meperidine*
full narcotic agonist (strong with anticholinergic effects) use for 24-48 hr for acute pain
43
codeine
converted to morphine by CYP2D6
44
hydrocodone
Synthetic opioid that is metabolized to hydromorphone
45
tapentadol
full agonist NE reuptake inhibitor narcotic
46
tramadol
Centrally-acting opioid agonist
47
buprenophine
partial agonist narcotic
48
buprenorphine & naloxone
partial agonist narcotic
49
buprenophrine ER
partial agonist narcotic
50
butorphanol*
mixed opioid agonist/antagonist narcotic
51
nalbuphine
mixed opioid agonist/antagonist narcotic
52
pentazocine
mixed opioid agonist/antagonist narcotic
53
Dextromethorphan
OTC cough suppressant | related to narcotics
54
Diphenoxylate
diarrhea
55
naloxone
narcotic antidote/antagonist
56
Naltrexone
narcotic antidote/antagonist
57
Nalmefene
narcotic antidote/antagonist
58
Buprenorphine/naloxone
addiction narcotic antidote/agonist/antagonist
59
dronabinol
Cannabinoids
60
nabilone
Cannabinoids
61
LSD
hallucinogens
62
Mescaline
hallucinogens
63
psilocybin
hallucinogens
64
PCP
hallucinogens
65
ketamine
hallucinogen/anesthetic
66
nitrates, ketones, hydrocarbons, amyl nitrates
inhalants
67
flumazenil
benzo antagnoist/antidote
68
clonidine
opiod withdrawl alleviative
69
methadone
long 1/2 life substitute for opioid withdrawal
70
curare
nondepolarizing neuromuscular blocker
71
tubocurarine
nondepolarizing neuromuscular blocker competitive antagonist
72
atracurium
nondepolarizing neuromuscular blocker competitive antagonist
73
pancuronium
nondepolarizing neuromuscular blocker competitive antagnoist
74
acetylcholinesterase inhibitors
reverse effect of non depolarizing neuromuscular blocker by increasing ACh concentrations
75
succinylcholine
depolarizing neuromuscular blocker
76
neostigmine
acetylcholinesterase inhibitors
77
pyridostigmine
acetylcholinesterase inhibitors
78
diazepam*****
spasmolytics/benzo | any disorder
79
baclofen*****
spasmolytics
80
tizanidine****
spasmolytics spaticity from cerebral or spinal injury
81
dantrolene***
spasmolytics | spasms (CNS or spinal cord) and malignant hyperthermia
82
gabapentin/pregabalin*
spasmolytics | MS
83
orphenadrine***
spasmolytics
84
carisoprodol****
spasmolytics
85
cyclobezaprine****
spasmolytics
86
metaxalone****
spasmolytics
87
methocarbamol***
spasmolytics
88
what drugs precipitate Serotonin syndrome?
``` SSRIs second generation antidepressants MOAIs linezolid tramadol*** meperidline*** fentanyl*** ondansetron sumatriptan MDMA*** LSD*** st. john's wort ginseng ```
89
what drugs precipitate neuroleptic malignant syndrome?
D2-blocking antipsychotics
90
what drugs precipitate malignant hyperthermia?
volatile anesthetics and succinylcholine
91
Sx of serotonin syndrome
``` onset in hours: hypertension hyperreflexia tremor clonus hyperthermia** hyperactive bowel sounds diarrhea mydriasis** agitation coma ```
92
therapy for serotonin syndrome
sedation (benzos), paralysis, intubation, and ventilation
93
clinical presentation of neuroleptic malignant syndrome?
``` Onset in 1-3 days: acute severe parkinsonism hypertension hyperthermia** normal/reduced bowel sounds ```
94
treatment for neuroleptic malignant syndrome?
diphenhydramine cooling sedation with benzos
95
sx of malignant hyperthermia?
``` Onset in minutes: hyperthermia** muscle rigidity hypertension tachycardia ```
96
treatment for malignant hyperthermia?
dantrolene | cooling
97
methocarbamol
relief of acute muscle spasm caused by tissue trauma or strain NOT for spasm from spinal cord or brain
98
cyclobenzaprine
relief of acute muscle spasm caused by tissue trauma or strain NOT for spasm from spinal cord or brain
99
orphenadrine
relief of acute muscle spasm caused by tissue trauma or strain NOT for spasm from spinal cord or brain
100
carisoprodol
relief of acute muscle spasm caused by tissue trauma or strain NOT for spasm from spinal cord or brain
101
metaxalone
relief of acute muscle spasm caused by tissue trauma or strain NOT for spasm from spinal cord or brain
102
methocarbamol
relief of acute muscle spasm caused by tissue trauma or strain NOT for spasm from spinal cord or brain