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Pain

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munsele's version from 2016-06-29 19:50

Section 1

Question Answer
Morphine like compounds (phenanthrenes)Morphine, codeine, hydrocodone, hydromorphone, oxycodone, oxymorphone
Merperidine like (pheylpiperidines)Merperidine, fentanyl
Methadone (diphenylheptane)Methadone
Central analgesicsTapentadol, tramadol
Milnaceprin MOASNRI
COX 2 selective Nabumetone, Celebrex, Mobic, Etodolac
Serotonergic medsMerperidine, methadone, tramadol
Why use enteric coated ASAto decrease nausea
Meds for OICRelistor, Movantik, Amitiza, Narcan (off label)
Agents with which alcohol become fatalZohydro, Opana, Nucynta
Dilaudid intial dose in opioid naiive0.2mg-1mg IV or 2-4mg oral Q4-6h
memorize

Section 2

Question Answer
ArthrotecDiclofenac + misoprostol, PG Cat X, causes diarrhea and cramping
Kadian and Embeda administration if dysphagiaopen and sprinkle, don't chew
TreximetNaproxen and sumatriptan
MetalaxoneSkelaxin
CyclobenzaprineFexmid
NSAID with severe skin reactionsPiroxicam
Stimulant laxativesSenns, ex lax, bisacodyl
All tramadol formulations including combos are what schedule4
Lyrica SEDizziness, somnolence, PE, wt gain, ataxia, diplopia, blurred vision, dry mouth, mild euphoria
Indomethacin SEhigh risk of GI toxicity and CNS SEs(avoid in psych condiitons)
Hysinglahydrocodone formulation dose once daily
Toradol max length of tx5 days
memorize

Section 3

Question Answer
VimovoNaproxen + esomeprazole
Critera to d/c pt on Fentanyluse of 60mg or more morphine for at least 7 days
memorize