Opioids, Pains, & Headaches
Which dosing method (PCA, Fixed, PRN) results in the patient having more pain?
PRN
What does meth cause?
- Arousal
- Improved mood
- Euphoria
- Decrease pain perception
- Decrease appetite
- Decreased need for sleep
How long does it take for anti-depressants to take maximum effect?
Up to 12 weeks
Which opioid would you use for cancer patients?
Fentanyl
What is the MOA of Varenicline?
Prevents most of nicotine from binding
Ask about loss of effect
Which type of headache is more common in males? Females?
Males - cluster
Females - migraines (more severe)
What is a big reason why patients stop taking Varenicline?
It causes vivid and wild dreams/nightmares
What labs should you monitor for someone taking Memantine?
Renal Labs
What should you look out for when using TCA's as migraine preventative therapy?
Hypotension & Anti-Cholinergic effects
When do symptoms of alcohol withdrawal start? What do they include?
1 - 3 days
- GI distress
- SNS overstimulation
- Hallucinations
- Tonic - Clonic Seizures
- Delirium Tremens
What type of MS drug is more toxic?
Immuno-suppressants
Which NSAID is fairly selective for Cox1 and has less GI problems & MI/CVA than any other non-ASA NSAID?
Naproxen
What is it called when alcohol and disulfuran are mixed?
Acetaldehyde syndrom
Which AED drugs are safe when pregnant? Which ones are not?
Safe - Oxcarbazepine
Not safe - Phenytoin, Phenobarbital, Valproic Acid