-
ACTION: Inhibits transmission
of reflexes at spinal cord level (spasmolytics)
INDICATION: TX of cerebral spasticity, reversible spasticity associated with MS or spinal cord lesions
- Central-Acting Skeletal muscle relaxant
- baclofen/Lioresal
- Preg-C
-
ACTION: Acts directly on skeletal muscle, causing relaxation by decreasing calcium release from sarcoplasmic reticulum in muscle cells
INDICATION: Muscle spasms Prophylactic for malignant hyperthermia Emergency TX of malignant hyperthermia
Preg: C
- Direct-Acting Muscle Relaxant
- Dantrolene/ Dantrium
-
ACTION: CNS DEPRESSANTS THAT INHIBIT NEURONAL IMPULSE CONDUCTION, DEPRESS CEREBRAl CORTEX, ALTER CEREBELLAR FUNCTION, AND DEPRESS MOTOR OUPUT
INDICATION: Relief of S & S of anxiety, sedation,
insomnia, preanesthesia, and TX of seizures
Preg: D
Sched: IV
- Barbituate
- Phenobarbital/Luminal
-
ACTION: CNS depressant Promotes skeletal muscle relaxation by inhibiting afferent pathways. Anti-convulsant properties
INDICATION: Anxiety, sedation, amnesia, skeletal muscle relaxation, decrease seizures, ETOH withdrawal
Preg: D
Sched IV
- Benzodiazepine
- diazepam/Valium
- antidote=flumazenil
-
ACTION: Selective tothe mu receptor. Main effect is in the brain
INDICATION: For moderate to severe chronic and acute pain. Pre-op, post-op and during labor
Preg: C
- Opioid agonist
- morphine/Roxanol
-
ACTION: Complete/partial block of opioid effects (CNS/resp depression without producing agonist (opioid like) effects
INDICATION: Reversal of signs of opioid excess
Preg: B
- Opioid antagonist
- naloxone/Narcan
-
ACTION: Binds to opiate receptors in CNS. Agonist affects response to painful stimuli. Antagonist may result in opioid withdrawal in physically dependent PTs.
INDICATION: Relief of moderate to severe pain in L & D, postpartum pain; adjunct to general anesthesia.
Preg: C
- Opioid Agonist/Antagonist
- pentazocine/Talwin
-
ACTION: Vasoconstricts blood vessels by stimulating alpha-adrenergic receptors 5-HT. This vasoconstricts vessels in the brain
INDICATION: TX of vascular headaches including migraines with or without aura and cluster headaches
Preg: X
- Ergot Alkaloids
- ergotamine
-
ACTION: Selective agonist of 5 HT-1 at specific vascular serotonin receptor sites, causing vasoconstriction in large intracranial arteries.
INDICATION: Acute TX of migraine attacks
Preg: C
- Triptans
- sumatriptan/Imitrex
-
ACTION: Inhibit synthesis of prostaglandin; blocks pyrogens; inhibits PLT aggregation. 4A's antipyretic, antiinflammatory, antiplatelet, analgesic
INDICATION: Mild to moderate pain, fever, inflammatory conditions. Reduce risk of TIA and MI
Preg: Not indicated d/t risks to mother
- Salicylates
- acetyl Salicylate Acid (ASA)
-
ACTION: Inhibits prostaglandin syntheses. Decreases pain, inflammation, and reduces fever.
INDICATION: Relief of pain, fever, inflammation
Preg: C up to 30 weeks, then D
- Non-opioid analgesic
- ibuprofen/Advil
-
ACTION: Works directly on thermoregulatory cells to cause sweating and vasodilation.
INDICATION: Mild to moderate pain, fever, M/S pain r/t arthritis
- Non-salicylate
- acetaminophen/Tylenol
-
ACTION: gold containing chemical (salt) Reduce Inflammation of joint lining
INDICATION: Rheumatoid Arthritis
Preg: C
- Anti-Arthritis
- AUROTHIO GLUCOSE
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