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FENTANYL (SUBLIMAZE) / NARCOTIC ANALGESIC
Fentanyl is a potent synthetic narcotic analgesic
- more rapid and less prolonged action
FENTANYL (SUBLIMAZE) / NARCOTIC ANALGESIC Indications
Induce sedation for endotracheal intubation
FENTANYL (SUBLIMAZE) / NARCOTIC ANALGESIC Contraindicatiosn
1. MAO inhibitors within 14days
2. Myasthenia gravis
FENTANYL (SUBLIMAZE) / NARCOTIC ANALGESIC Precautions
1. Increased intracranial pressure (ICP)
2. COPD
3. Respiratory problems
4. Hepatic & renal insufficiency
5. elderly
6. debilitated
FENTANYL (SUBLIMAZE) / NARCOTIC ANALGESIC Dosage/Route
25-100 mcg slowly IV (2-3min)
MORPHINE SULFATE (MORPHINE) / NARCOTIC ANALGESIC
Morphine sulfate is a potent analgesic and sedative that causes some vasodilation, reducing venous return, and reduced myocardial oxygen demand
MORPHINE SULFATE (MORPHINE) / NARCOTIC ANALGESIC Indications
1. Moderate to severe pain
2. MI
3. to reduce venous return in pulmonary edema
MORPHINE SULFATE (MORPHINE) / NARCOTIC ANALGESIC Contraindications
1. Hypersensitivity to opiates
2. Undiagnosed head or abdominal injury
3. Hypotension
4. Volume depletion
5. Acute bronchial asthma
6. COPD
7. Severe respiratory depression
8. Pulmonary edema due to chemical inhalation
MORPHINE SULFATE (MORPHINE) / NARCOTIC ANALGESIC Precautions
- Elderly, children, debilitated patients.
- Naloxone (Narcan) should be readily available to counteract the effects of morphine
MORPHINE SULFATE (MORPHINE) / NARCOTIC ANALGESIC Dosage/Route
Pain : 2.5-15mg IV; 5-20mg IM/Subcutaneous
AMI/PE : 1-2mg/6-10 min to response
NALOXONE (NARCAN)/ NARCOTIC ANTAGONIST
Naloxone is a pure narcotic antagonist that blocks the effects of both natural and synthetic narcotics and may reverse respiratory depression
NALOXONE (NARCAN)/ NARCOTIC ANTAGONIST Indications
1. Narcotic and synthetic narcotic overdose
2. Coma of unknown origin
NALOXONE (NARCAN)/ NARCOTIC ANTAGONIST Contraindications
1. Hypersensitivity to the drug
2. Non-narcotic induced respiratory depression
NALOXONE (NARCAN)/ NARCOTIC ANTAGONIST Precautions
- Possible dependency
- Half life that is shorter than that of most narcotics, patient may return to OD state
NALOXONE (NARCAN)/ NARCOTIC ANTAGONIST Dosage/Route
0.4-2 mg IV/IM (2-2.5X dose ETT), repeated every 2-3mins as needed up to 10mg
Author
medic11student
ID
21679
Card Set
Narcotics
Description
JHPC Medic 11
Updated
2010-06-02T02:12:16Z
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