week 4 Flashcards
Fentanyl
Brand: Duragesic
Medication Class: Opioid Analgesic (II)
I: Moderate to severe chronic pain
- relieves preoperative and postoperative pain
S/E:
- drowsiness
- respiratory depression
- constipation
Codeine
Brand: Tylenol w/ codeine (C-III when combined w/acetaminophen)
Medication Class: Opioid Analgesic (II)
I: Mild to moderately-severe pain
S/E:
- drowsiness
- respiratory depression
- constipation
Hydrocodone/acetaminophen
Brand: Vicodin, Norco
Medication Class: Opioid Analgesic (II)
I: Severe Pain Management
S/E:
- Drowsiness
- Respiratory Depression
- Constipation
Morphine
Brand: MS Contin, Avinza, Kadian
Medication Class: Opioid Analgesic (II)
I: Moderate to severe chronic pain
S/E:
- Drowsiness
- Respiratory Depression
- Constipation
Oxycodone
Brand: Oxycontin
Medication Class: Opioid Analgesic (II)
I: Moderate to Severe Chronic Pain
S/E:
- drowsiness
- respiratory depression
- constipation
Tramadol
Brand: Ultram
Medication Class: non-opioid Analgesic (IV)
I: Moderate to severe chronic pain
S/E:
- drowsiness
- respiratory depression
- constipation
Keterolac
Brand: Toradol
Medication Class: NSAIDs
I: Short term management of pain (does not exceed 5 days)
S/E:
- HF Myocardial infarction stroke
- stevens johnson syndroe
-hyperkalemia
- GI bleeding
- renal toxicity
- drowsiness
Hydromorphone
Brand: Dilaudid
Medication Class: opioid analgesic/opioid agonist
I: Moderate to severe pain
S/E:
- respiratory depression
- constipation
- sedation, confusion
-nausea, dry mouth
- hypotension
- miosis (pupils constrict)
Naloxone
Brand: Narcan
Medication Class: Antidote; opioid antagonist
I: Reversal of CNS depression and respiratory depression aka overdose
S/E:
- pain will come back bc it’s reversed
- ventricular arrhythmias, hypertension, hypotension, n/v
- withdrawal symptoms (diarrhea, nausea, insomnia)
Gabapentin
Brand: Neurontin
Medication Class: Gamma Aminobuyric Acid, Anticonvulsant
I:
- Neuropathic pain
- seizure
S/E:
- drowsiness
- dizziness
- ataxia
- somnolence
- peripheral edema
Pregablin
Brand: Lyrica
Medication Class: Analgesic, Anticonvulsant (V)
I:
- fibromyalgia
- neuropathic pain
- seizure
S/E:
- drowsiness
- dizziness
- ataxia
- somnolence
- peripheral edema
APAP (acetaminophen)
Brand: tylenol
Medication Class: NSAIDs, antipyretics, nonopioid analgesic
I:
- Reduces fever, relieves headache, reduces muscle aches & pain
- DOC (drug of choice) to treat fever & flu like symptoms in children
- DOES NOT affect inflammation or platelet aggregation
S/E:
- liver toxicity & renal toxicity/failure
- skin rash
- hypoglycemia w/overdose
- neutropenia (increased bleeding)
Prednisone
Brand: Deltason
Medication Class: Adrenal Corticosteroid
I:
- Rheumatoid arthritis
- acute asthma attacks
- allergic skin reaction
- ulcerative colitis
S/E:
- stomach upset
- insomnia
- hyperglycemia
Prednisolone
Brand: Orapred
Medication Class: Adrenal Glucocorticosteroid
I:
- Rheumatoid Arthritis
- acute asthma attack
- allergic skin reaction
- ulcerative colitis
S/E:
- stomach upset
- insomnia
- hyperglycemia
Methylprednisolone
Brand: Medrol
Medication Class: Adrenal corticosteroid
I:
- rheumatoid arthritis
- acute asthma attacks
- allergic skin reaction
- ulcerative colitis
S/E:
- stomach upset
- insomnia
- hyperglycemia
Celecoxib
Brand: CeleBREX
Medication Class: anti-inflammatory, CoX-2 NSAIDs
I:
- Rheumatoid arthritis
- osteoarthritis
- ankylosing spondylitis
- acute pain
- primary dysmenorrhea
S/E:
- Dyspepsia: indigestion
- N/V (nausea/vomiting)
- GI ulcers
- Hypertension
- Fluid retention
- Peripheral edema
- Dizziness
- HA (headache)
- Rash
Ibuprofen
Brand: Motrin
Medication Class: NSAID
I:
- mild to moderate severe pain
- HA
- fever
- OA
- RA
S/E:
- gastric ulcer
- dyspepsia
- edema
Meloxicam
Brand: Mobic
Medication Class: NSAID
I:
- OA
- RA
S/E:
- gastric ulcer
- dyspepsia
- edema
Diclofenac
Brand: Voltaren
Medication Class: NSAID
I:
- RA
- OA
- migraine
- dysmenorrhea
- pain
S/E:
- gastric ulcer
- dyspepsia
- edema
Naproxen
Brand: Naprosyn
Medication Class: NSAID
I:
- Fever
- mild to moderate pain
- RA
- OA
- Gout
S/E:
- gastric ulcer
- dyspepsia
- edema
Aspirin
Brand: Aspirin
Medication Class: Salicylates, NSAIDs
I:
- inflammatory disorders (RA, OA)
- mild to moderate pain
- fever
- prophylaxis of ischemic attacks/heart attacks
- blood thinner
S/E:
- dyspepsia
- epigastric distress
- nausea
- hepatotoxicity
- Gastric acid hypersecretory conditions, gastrointestinal irritation, nausea, vomiting, heartburn, abdominal pain w/ cramps, rectal irritation
- easy bruising/bleeding, difficulty hearing, ringing in the ears (tinnitus), kidney problems, persistent or severe nausea/vomiting, dark urine or jaundice (liver problems
- reye’s syndrome (seen in children)
Sumatriptan
Brand: Imitrex
Medication Class: Antimigraine Serotonin receptor agonist
I:
- Migraine prevention
- cluster headaches
S/E:
- administration site reactions
- dizziness
- chest discomfort
Apap/caffeine/asa
Brand: excedrin migraine
Medication Class: nsaid ?
I: used together to increase absorption in the stomach, increases HR allowing it to be absorbed into blood stream; used for migraines (abortive tx)
S/E: n/v, shaking, upset stomach, trouble falling asleep
Lidocaine
Brand: Lidoderm
Medication Class: local anesthetic
I:
- localized pain
- neuralgia pain
S/E:
- administration site reactions
- nausea