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Flashcards in Pain Management Deck (86)
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1

Drug Choices for PCA Pumps

Morphine
Fentanyl
Dilaudid

2

Other Pain Management Options for Inpatients

Toradol IM/IV
Morphine IM/IV
Dilaudid IM/IV
Demerol/Phenergen IM

3

Acute Pain Management of Post-Operative Pain

Narcotic + non-narcotic medication

4

Points of Pain Contracts

Pain med- amount- time period
Drug testing
Providers (primary & secondary)
Ancillary Services

5

Ancillary Services for Chronic Pain

Behavioral health
Biofeedback
PT
OT
Hypnosis
Osteopathic manipulation

6

Most Commonly Prescribed Narcotics

Codeine
Hydrocodone
Oxycodone
Tramadol
Hydromorphone (Dilaudid)
Meperidine (Demerol)
Fentanyl

7

What are narcotics commonly in combination with?

Acetaminophen (APAP)

8

Use of Schedule I Drugs

Illegal
Restricted to research
No accepted medical use

9

Examples of Schedule I Drugs

Hallucinogens
Heroin
Peyote
Coca
Psilocybin mushrooms
Marijuana

10

Schedule II Regulations

Requires prescription
30 days of medication with no refills
Psychological or physical dependence
Verbal orders not allowed

11

Examples of Schedule II Drugs

Codeine
Hydrocodone
Hydromorphone
Morphine
Cocaine
Fentanyl
Methadone
Meperidine

12

Schedule III Regulations

Requires a prescription
Moderate abuse potential
Max: 5 refills
Verbal orders allowed

13

Examples of Schedule III Drugs

Benzphetamine
Clortemine
Ketamine
Pentobarbital
Secobarbital
Sulfomethane

14

Schedule IV Regulationss

Requires a prescription
Low abuse potential
Max of 5 refills
Verbal orders allowed

15

Examples of Schedule IV Drugs

Alprazolam
Barbital
Clonazepam
Lorazepam
Midazolam
Phenobarbital
Diazepam
Tramadol

16

Schedule V Drug Regulations

OTC with restrictions or requires a prescription
Low abuse potential

17

Examples of Schedule V Drugs

Robitussin AC
Lyrica
Lomotil
Potiga

18

Codeine/APAP

Opioid agonist
Used as antitussive as well
Schedule II
Good for pediatric patients
Cost: $15 for 30 tabs

19

Hydrocodone

Opioid agonist
Many combo formulations (with APAP)
Schedule II
Cost: $55 for 30 tabs

20

Examples of Hydrocodone Variations

Lorcet (10/650)
Vicodin (5/500)
Norco (5/325, 7.5/325, 10/325)
Lortab (5/500, 7.5/500, 10/500)

21

Oxycodone

Combo drug or not
Opioid agonist
Schedule II
Cost: $100 for 30 tabs

22

Examples of Oxycodone

Percocet (combo)
OxyContin

23

Tramadol (Ultram)

Binds to opioid receptors & inhibits norepinephrine/serotonin reuptake
Schedule IV
Cost: $60 for 30 tabs

24

APAP Combo of Tramadol

Ultracet

25

Hydromorphone (Dilaudid)

Opioid agonist
High abuse potential
Highly sedative
Taper to D/C
Schedule II
Cost: $30 for 20 tabs

26

Meperidine (Demerol)

Opioid agonist
Very sedative
Seizure risk over time & dose
Avoid abrupt cessation
Schedule II
Cost: $30 for 20 tabs

27

SE of Meperidine (Demerol)

N/V

28

Fentanyl (Duragesic)

Chronic pain
Opioid tolerant patients
Major abuse potential
Responsible patients or caregiver to administer
Schedule II
Cost: $100 for 5 patches

29

How long does a fentanyl patch last?

3 days

30

NSAIDS

Good for orthopedics
Anti-inflammatory
Caution: concomitant anti-coagulation
Slow fracture healing