DRUGS FOR THE CONTROL OF PAIN
Drugs Opioid agonist morphine Opioid antagonist Narcan Non-opioid analgesics Aspirin Tylenol Sumatriptan
PAIN Subjective/Objective “It is whatever the patient says it is” 6th Vital Sign PQRST
PAIN ASSESSMENT = EFFECTIVE PHARMACOTHERAPY Effective pharmacotherapy depends on Assessment of degree of pain Determining underlying disorders Acute Chronic
Nociceptor stimulation Spinal cord receives pain impulse through TRANSMISSION OF PAIN Nociceptor stimulation Spinal cord receives pain impulse through
NONPHARMACOLOGIC THERAPIES Acupuncture Massage; therapeutic or physical touch Meditation or prayer Art or music therapy Chiropractic manipulation Heat or cold Relaxation
PROTOTYPE DRUGS Morphine (opioid analgesic) Naloxone (opioid receptor antagonist) Aspirin (nonopiod analgesic) Sumatriptan (antimigraine)
OPIOID ANTAGONIST & ACUTE OIOID TOXICITY Acute opioid toxicity = severe respiratory depression and is a medical emergency Opioid antagonist drugs: block receptors Naloxone (Narcan)
NURSING Careful monitoring, especially respiratory Do not administer if respirations <12/minute Narcan readily available Resuscitative equipment readily available Education
NURSE’S ROLE & ANTIMIGRAINE DRUGS Stop migraines in progress Prevent migraines from occurring Provide quiet, calm environment, decreased noise, lighting Education