Pain Flashcards

(99 cards)

1
Q

FeverAll

A

APAP

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2
Q

Tylenol

A

APAP

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3
Q

Norco

A

APAP + hydrocodone (325 mg APAP)

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4
Q

Vicodon

A

APAP + hydrocodone (325 mg APAP)

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5
Q

Endocet

A

APAP + oxycodone

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6
Q

Percocet

A

APAP + oxycodone

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7
Q

Excedrin Tension Headache

A

APAP + caffeine

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8
Q

Midol Complete

A

APAP + caffeine + pyrilamine

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9
Q

apap max dose for adults

A

<4000 mg/day

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10
Q

apap pediatric dose (<12 yo)

A

10-15 mg/kg/dose q4-6hr

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11
Q

Advil

A

ibuprofen

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12
Q

Motrin

A

ibuprofen

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13
Q

ibuprofen dose for adults (OTC)

A

200-400 mg/dose

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14
Q

ibuprofen max dose (Rx)

A

3.2 g/day

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15
Q

ibuprofen pediatric dose

A

5-10 mg/kg/dose q6-8hr

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16
Q

Indocin

A

indomethacin (CNS effects)

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17
Q

Aleve

A

naproxen

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18
Q

Vimovo

A

naproxen/esomeprazole

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19
Q

naproxen dose

A

220 mg q8-12 hrs

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20
Q

Sprix

A

ketorolac nasal spray

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21
Q

max combined duration for ketorolac

A

5 days

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22
Q

ketorolac warnings

A

increased bleeding, acute kidney failure, liver failure

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23
Q

COX-2 selective NSAIDS

A

celecoxib (highest), meloxicam (some), diclofenac (some)

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24
Q

Voltaren gel dose

A

total body max 32 g/day

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25
Celebrex
celecoxib (highest COX-2 selectivity, sulfa allergy)
26
Ascriptin
aspirin
27
Excedrin/Excedrin Migraine/Excedrin Extra Strength
APAP + aspirin + caffeine
28
Bufferin
aspirin
29
Ecotrin
aspirin
30
Doan's Extra Strength
magnesium salicylate (non-acetylated salicylate)
31
chronic PPI use
inc infection risk, dec bone density
32
methyl salicylate found in
BenGay, IcyHot, Salonpas
33
aspirin + ibuprofen
take aspirin 1 hr before or 8 hrs after ibuprofen
34
do not drink alcohol with these opioids
morphine ER caps, Nucynta ER, oxymorphone ER, hydrocodone ER caps
35
NSAIDs notes
increase levels of lithium, photosensitivity, increase BP
36
seizures
risk of opioids
37
codeine schedules
by itself (CII), combo with APAP (CIII), oral solution combos (CV)
38
Sublimaze
fentanyl (also comes in transmucosal lozenge)
39
buprenorphine schedule
CIII
40
Butrans
buprenorphine patch
41
Belbuca
buprenorphine buccal film
42
Demerol
meperidine (no longer recommended as analgesic)
43
MC Contin
morphine ER
44
Duramorph
morphine injection
45
Infumorph
morphine injection
46
Roxicodone
oxycodone IR
47
OxyContin
oxycodone ER
48
codeine age CI
<12 yo (any indication), <18 yo following tonsillectomy/adenoidectomy
49
fentanyl is substrate of
CYP3A4
50
codeine (prodrug) is substrate of
CYP2D6
51
remifentanil
IV fentanyl
52
fentanyl in dosed in what units
mcg
53
hydrocodone metabolized via
CYP3A4
54
CYP3A4 substrates
fentanyl, hydrocodone, methadone, oxycodone
55
Dilaudid
hydromorphone
56
hydromorphone bbw
risk of med error with high potency injection (use in opioid tolerant pts only)
57
hydromorphone dose (PO)
2-4 mg q4-6hr PRN
58
hydromorphone dose (IV)
0.2-1 mg q2-3 hr PRN
59
methadone bww
QT prolongation
60
which opioid decreases testosterone
methadone
61
variable half life
methadone
62
meperidine bbw
renal impairment, elderly at risk for CNS toxicity
63
which opioid is serotonergic
meperidine, methadone, tramadol
64
short duration of action
meperidine
65
oxymorphone
take on empty stomach
66
morphine dose conversion
10 mg (IV/IM) = 30 mg (PO)
67
hydromorphone dose conversion
1.5 mg (IV/IM) = 7.5 mg (PO)
68
oxycodone dose conversion
20 mg (PO)
69
meds that increase risk of OIRD
benzos, pregabalin, gabapentin
70
comorbid conditions that inc risk of OIRD
respiratory, psych diseases
71
tramadol
C-IV
72
Nucynta
tapentadol (CII)
73
tramadol inhibits reuptake of
NE, serotonin
74
tramadol: inc risk of SS
CYP2D6i, 3A4i
75
hypoglycemic warning
tramadol
76
tramadol is a prodrug, conversion to active metabolite via
CYP2D6
77
Hysingla ER
hydrocodone
78
mfg with specific techology designed to deter modifications
OxyContin, Hysingla ER
79
Narcan
naloxone
80
RiVive
naloxone
81
Suboxone
buprenorphine/naloxone (CIII)
82
Zubsolv
buprenorphine/naloxone (CIII)
83
Horizant
gabapentin enacarbil ER tablet (used for PHN and restless leg)
84
pregabalin approved for
neurpathic pain, PHN, fibromyalgia
85
carbamazepine approved for
trigeminal neuralgia
86
Lioresal
baclofen (anti-spasmodic)
87
CNS depressants
benzos, opioids, anti-convulsants, anti-spasmodics, alcohol
88
Amrix
cyclobenzaprine (antispasmodic) - serotonergic
89
Fexmid
cyclobenzaprine (anti spasmodic) - serotonergic
90
Zanaflex
tizanidine (anti spasmodic) - hypotension
91
Soma
carisoprodol (anti-spasmodic) - CIV
92
Robaxin
methocarbamol (anti-spasmodic)
93
carisoprodol is substrate of
CYP2C19
94
Dantrium
dantrolene (muscle relaxant used for malignant hyperthermia)
95
Lidocaine viscous
lidocaine gel
96
lidocaine approved for
PHN (shingles) pain
97
Zostrix 0.025% or 0.07%
capsaicin cream
98
capsaicin moa
decrease substance P
99