CNS
This CNS medication works in the brainstem to reduce tonic motor activity.
What is cyclobenzaprine?
These are the three opioid receptors in order from most to least receptive to opioids.
What is Mu, Kappa and delta?
Name the OTC medication that helps with inflammation and the name of its IV formulation.
What is ibuprofen and ketorolac (Toradol)?
This route of administration is no recommended for pain control
What is intramuscular?
With tolerance of morphine, all side effects disappear except this one.
What is constipation?
List 3 common side effects associated with our prototype drugs used for muscle spasms and spasticity.
What are drowsiness, dizziness, weakness and fatigue?
This opioid is 80 times more potent than morphine.
What is fentanyl?
The use of this may result in reduced risk of adverse effects, shorter length of stay, less pain during rest and activity and improved patient satisfaction.
What is multi-modal analgesia?
This Adjuvant analgesic is the drug of choice for neuropathic pain.
What is gabapentin?
Misosis, unresponsiveness and bradypnea are and indication of this
What is opioid overdose?
A patient follows up with a second appointment a few days after being prescribed a new antidepressant saying they feel like it is not working. Provide a key piece of information.
What is it cant take several weeks before a full therapeutic effect develops?
Name 3 effects that result from an opioid binding to the Mu receptor.
What are analgesia, respiratory depression, euphoria, sedation, physical dependence?
This cyclooxygenase inhibitor should not be used in children due to the risk of Reye’s Syndrome.
What is Aspirin?
Name two safety considerations associated with the use of PCA pumps.
What is ETCO2, no appropriate for everyone (unconscious), only pushed by them, not family.
This second-generation cyclooxygenase inhibitor is known to increase the risk of MI and stroke
What is Celecoxib (Celebrex)?
This non-stimulant drug is the second line therapy for ADHD. Additionally, what is the key risk potentially seen in children but not adults.
What is Atomoextine (Strattera) and risk for suicide?
Name the three opioid categories and one drug from each category. Additionally, name the category in which naloxone belongs.
What is strong opioid agonist, moderate-strong opioid agonist, agonist-antagonists and opioid antagonists.
Refer to chart for names.
This medication is used post bowel surgery to help restore GI function
What is Alvimopan (Entereg)?
These medications are used to help reduce inflammation and suppress the immune system, name one specific example
What are glucocorticoids, dexamethasone?
This is the key concern with the synthetic opioid Demerol/Meperidine.
What is the formation of the toxic metabolite (normeperidine with ½ life of 24-48 hours with normally functioning kidneys) that can cause seizures.
Name the common stimulant used as the 1st line therapy for ADHD along with two side effects.
What is Methylphenidate (Concerta or Ritalin)
SE: insomnia, HA/Abdominal Pain, Reduced appetite and growth suppression?
You should inform your patient to avoid taking this medication while on Percocet
What is acetaminophen?
This medication is an analog of codeine and works through weak actions at mu receptors blocking norepinephrine and serotonin and has an increased risk for suicide
What is Tramadol?
Pain can be broken into three “levels”. Name these levels along with the recommended numerical value range associated with each level. Additionally, what is one medication that could be used to treat each level.
What is:
Mild (1-3) NSAIDS, Acetaminophen
Moderate (4-6) Hydrocodone, codeine, oxycodone, Tramadol
Severe (7-10) Fentanyl, morphine, hydromorphone
Name four side effects associate with morphine and a treatment for each.
What is:
Constipation (stool softener, increase fluid, fiber)
Respiratory depression/Sedation ( naloxone, O2, HOB)
Urinary retention (Monitor, I&O catheter)
Postural hypotension (Move slowly, don’t give if blood pressure is too low)
Nausea (Position, Antiemetic)
Itching (pre-medicate with antipruritic)