Term
| Name some Narcotic Analgesics |
|
Definition
morphine sulfate/ Duramorph, Astromorph
meriperidine/ Demerol
nalbuphine/ Nubain
butorphanol/ Stadol
hydromorphone/ Dilaudid
fentanyl/ Sublimaze
naloxone/ Narcan |
|
|
Term
| What 2 Narcotic analgesics are synthetic |
|
Definition
nalbuphine/ Nubain
butorphanol/ Stadol |
|
|
Term
| What are some Non narcotic analgesics |
|
Definition
aspirin/ acetylsalicylic acid, ASA, Bayer
acetaminophen/ Tylenol
ketorolac/ Toradol |
|
|
Term
| What are the General anesthetics we use |
|
Definition
nitrous oxide/ Nitronox
methohexital/ Brevitol
thiopental/ Pentothal |
|
|
Term
| What general anesthetics do we give IV and are also Barbiturates |
|
Definition
thiopental/ Pentothal
methohexital/ Brevitol |
|
|
Term
|
Definition
methohexital/ Brevital
thiopental/ Pentothal
phenobarbital/ Luminal
AKA anticonvulsants |
|
|
Term
| What are some Benzodiazepines |
|
Definition
diazepam/ Valium
midazolam/ Versed
lorazepam/ Ativan
These are also anticonvulsants |
|
|
Term
| What are some other anticonvulsants other than the Benzo's or Barbiturates |
|
Definition
phenytoin/ Dilantin aka Beta blocker
magnesium sulfate |
|
|
Term
| Name the Sedative hypnotics |
|
Definition
etomidate/ Amidate
propofol/ Diprivan
ketamine/ Ketalar
also are classed as anesthetics |
|
|
Term
| Which sedative hypnotic produces some analgesia and amnesia |
|
Definition
|
|
Term
| Phenothiazines and other drugs that cause dystonic reactions are what |
|
Definition
chlorpromazine/ Thorazine
prochlorperazine/ Compazine
droperidol/ Inapsine
haloperidol/ Haldol |
|
|
Term
| Of the phenothiazines which can be classified as their own group of drugs called Butyrophenones |
|
Definition
droperidol/ Inapsine
haloperidol/ Haldol |
|
|
Term
|
Definition
| decrease in perception of pain |
|
|
Term
|
Definition
| decrease sensation of pain |
|
|
Term
| What two classes are analgesics divided into |
|
Definition
Opiod/ Narcotic and
Non Opiods |
|
|
Term
| Opiods act on what receptor sites |
|
Definition
|
|
Term
| What do opiods/ narcotics do when they act on the endorphin receptors |
|
Definition
decrease their ability to propagate pain impulses
sop the initiation of new pain impulses |
|
|
Term
| What are some endorphin receptors |
|
Definition
Mu--most important
Kappa
Sigma-undesirable effects |
|
|
Term
| General actions of Opiods |
|
Definition
Analgesia
Respiratory depression
Decreased PVR-v preload, v afterload
Constipation
^ ICP
Sedation
Euphoria |
|
|
Term
| Adjunct drugs that help potentiate the effects of analgesics are |
|
Definition
Benzo's-Versed
Antihistamines- Benadryl
Caffine |
|
|
Term
| Narcan/ naloxome is the antidote for what class of drugs |
|
Definition
Opiods-Narcotic analgesics
Opiod Antagonist- blocks
Prototype drug |
|
|
Term
| Because Narcan has a shorter half life than the narcotic what might you have to do and look out for |
|
Definition
HAVE TO REDOSE
Make sure your patient stays stable |
|
|
Term
| If something is said to be a CNS depressant what effects would you expect |
|
Definition
Decrease in the following:
HR
RR
BP
LOC |
|
|
Term
| 56 y/o M CO chest pain with a BP of 160/100, RR 22, and a 10 on a pain scale and he tells you he is dying, also has history of CHF. What drug would you give |
|
Definition
|
|
Term
| What contraindication covers all the Narcotic Opiod Analgesics |
|
Definition
|
|
Term
| NSAIDS inhibit the synthesis of what |
|
Definition
| cyclooxygenase/ Cox which is an enzyme |
|
|
Term
| cyclooxygenase/ Cox which is an enzyme responsible for the synthesis of what |
|
Definition
| Prostiglandins and Thromoxane |
|
|
Term
| Prostiglandins are responsible for |
|
Definition
Pain response
^ in blood flow
Inflammation
V gastric acid secretion
Fever |
|
|
Term
| How does ASA increase blood flow |
|
Definition
| it is a anti-platelet aggregator |
|
|
Term
| What other NSAIDS can be given IM or IV and is great for vomiting pt's |
|
Definition
|
|
Term
| What other narcotic analgesic besides morphine is used for RSI |
|
Definition
|
|
Term
| Classes of Sedative Hypnotic Drugs are |
|
Definition
| Anticonvulsants, Barbiturates and Bezodiazepines |
|
|
Term
| Benzo's and Barbituates both promote what CNS receptor |
|
Definition
|
|
Term
| GABA is the chief neurotransmitter of the CNS what does it do |
|
Definition
GABA is responsible for making you sleepy slowing you down.
Inhibits wake fullness and alertness |
|
|
Term
| Both Benzo's and Barbiturates promote GABA which one Stimulates it |
|
Definition
|
|
Term
| Benzo receptors found in cerebellum mediate what |
|
Definition
|
|
Term
| What do the benzo receptors in the basal ganglia and hippocampus do |
|
Definition
Muscle relaxtion
V in memory and sensation |
|
|
Term
| Where are the highest concentration of Benzo receptors found |
|
Definition
|
|
Term
| What class Sedative Hypnotics ends with -al |
|
Definition
|
|
Term
What class of Sedative Hypnotics ends with -am
the generics |
|
Definition
|
|
Term
| Anticonvulsants are mainly used for what |
|
Definition
|
|
Term
| Seizures are caused by what |
|
Definition
|
|
Term
| Drugs are used to treat seizures how |
|
Definition
^ motor cortex threshold-Dilantin
Delay depolarization and prolong repolarization
Hyperpolarize membrane so can't depolarize again |
|
|
Term
|
Definition
Barbiturates
Anticonvulsants
Benzodiazepines |
|
|
Term
| What Barbiturate is also considered a anticonvulsant |
|
Definition
|
|
Term
| If you are going to use RSI to intubate what class of drugs can you use the whole class |
|
Definition
|
|
Term
| Side effect of using Mag sulfate as a anticonvulsant |
|
Definition
|
|
Term
| Conscious sedation is also called |
|
Definition
|
|
Term
| What drug is used as a local anesthetic |
|
Definition
|
|
Term
| Barbiturates MOA is unknown but is believed to act on what |
|
Definition
|
|
Term
| Ultra short acting Barbiturates are premedication for |
|
Definition
|
|
Term
| How long do Ultra short acting Barbiturates last |
|
Definition
Onset 20-60 seconds
Last about 5 minutes |
|
|
Term
| What are more potent and more addictive benzodiazepines or barbiturates |
|
Definition
|
|
Term
| Which barbiturates increases the seizure threshold |
|
Definition
|
|
Term
| What is the major indication for Benzodiazepines besides being an anticonvulsant |
|
Definition
|
|
Term
| What sedative hypnotics are premedication for RSI |
|
Definition
etomidate/ Amidate
ketamine/ Ketalar |
|
|
Term
| Antipsychotic drugs are aimed at regulating what neurotrasmitters |
|
Definition
|
|
Term
| What are dopamine receptors responsible for |
|
Definition
|
|
Term
| Disorders associated with dopamine imbalance include |
|
Definition
Bipolar
ADD
Tourettes
Dementia
Substance abuse
Prevention emesis |
|
|
Term
| 2 classes of drugs used as antipsychotics are |
|
Definition
Phenothiazines
Butyrophenones |
|
|
Term
| Which class of drug is more potent phenothiazines or butyrophenones |
|
Definition
|
|
Term
| If someone is experiencing acute dystonia what treatment can you give them |
|
Definition
|
|
Term
| What tx would you give to Akinesia; agitation, repetitive motions of pacing, rocking, and foot tapping |
|
Definition
|
|
Term
| What is the tx for tarditive dyskinesia |
|
Definition
|
|
