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Published byBrianna Wheeler Modified over 9 years ago
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Narcotic Analgesics and Anesthesia Drugs Narcotic Analgesics
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Opioids Actions –Analgesia –Euphoria –Sedation
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Opioids Primary Use –Moderate Pain –Severe Pain –Acute Pain –Chronic Pain –Breakthrough Pain
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Opioids Other Uses –Pre-Op Sedation –Adjunct Anesthesia –Anti Anxiety –Diarrhea –Opiate Dependence
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Opioids Common Opioids –Morphine sulfate –Codeine –meperidine HCl (Demerol) –hydromorphone (Dilaudid) –fentanyl (Duragesic) –oxycodone (OxyContin)
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Opioids Common Routes –IV –IM –Subcutaneous –Oral –Transdermal –Epidural
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Opioids Adverse Reactions Euphoria, dysphoria, confusion, sedation Nausea, vomiting, constipation Hypotension, bradycardia or tachycardia Urinary hesitancy, dysuria Respiratory depression, cough depression Allergic reactions, pruritisPain, irritation at injection site
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Opioids Contraindications Opiate allergies Head injuries, increased intracranial pressure Convulsions Ulcerative colitis Pulmonary diseases (asthma, COPD) Renal or hepatic dysfunction
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Opioids Not recommended during labor Use caution with elderly Not recommended for biliary surgery Not recommended during lactation Precautions
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Opioids Opioid Naive ToleranceAddiction Precautions
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Opioids Precautions Opioids and Acetaminophen Daily acetaminophen intake should NOT EXCEED 4 grams
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Opioids Interactions CNS Depressants Use caution whenever two or more CNS depressants given
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Opioids Special Circumstances Opiates of Choice Codeine Persistent Cough Morphine Myocardial Infarct Meperidine Biliary Surgery
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Opioids Opiate Poisoning miosis Respirations < 10 / min hypoxia
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Opioids Opiate Antagonist
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Opioids Patient Controlled Analgesia (PCA)
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Opioids Epidural
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Opioids Transdermal
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