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Mild to Moderate Pain Opiates (3)
- (Codeine, Oxycodone, Hydrocodone)
- - prescribe w/ a non-opioid (reduce the dose of opioids and produce more analgesic)
- - Ex: Tylanol #3, Vicodin
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Ultram (2) S.E (4)
- - Roughly the same efficiacy as Tylenol #3
- - No tolerance, physical dependency, or addiction
- - S.E= Nausea, Constipation, Dizziness, Sedation
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Opioids (2)
(10) drugs
- - controlled substances
- -
has NO analgesic ceiling, can be administered several routes- Morphine, Fentalyn, Diludad, Percocet - -Demerol, Methadone
- - Avinza, Duramorph, MS contin, Roxanol
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Opioiods for Long acting Chronic pain ATC relief for extended time (4)
- 1. Avinza
- 2. Duramorph
- 3. MS Contin
- 4. Roxanol
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Demerol (4)
Causes (3)
- - severe pain
- - limited
by HIGH INCIDENCE OF SEIZURES- - Contraindicated
for pts ACUTE PAIN +3 dAYS or who needs LARGER DOSES- -"
pts taking MAO inhibitors - - Causes Hyperpyrexia , delirium, Death
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Opiates Most common side effects (5)
At risk (3)
- - Constipation
- - nausea
- - Vomitting
- - Respiratory depression
- - Pruritus
- - AT RISK PTS Opioid Naive, Elderly, Lung Disease
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Less Common side effects Opiates (6)
- - Urinary Retention
- - Myoclonus
- - Dizziness
- - Confusion
- - Hallucinations
- * Physical Dependence
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