Narcotic Analgesics and Anesthesia Drugs
description
Transcript of Narcotic Analgesics and Anesthesia Drugs
![Page 1: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/1.jpg)
Narcotic Analgesics and Anesthesia Drugs
Narcotic Analgesics
![Page 2: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/2.jpg)
Opioids
Actions–Analgesia
– Euphoria
– Sedation
![Page 3: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/3.jpg)
Opioids
Primary Use–Moderate Pain
– Severe Pain
–Acute Pain
–Chronic Pain
– Breakthrough Pain
![Page 4: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/4.jpg)
Opioids
Other Uses
– Pre-Op Sedation
–Adjunct Anesthesia
–Anti Anxiety
–Diarrhea
–Opiate Dependence
![Page 5: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/5.jpg)
Opioids
Common Opioids
– Morphine sulfate– Codeine– meperidine HCl (Demerol)– hydromorphone (Dilaudid)– fentanyl (Duragesic)– oxycodone (OxyContin)
![Page 6: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/6.jpg)
Opioids
Common Routes
– IV– IM– Subcutaneous– Oral– Transdermal– Epidural
![Page 7: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/7.jpg)
Opioids
Adverse Reactions
Euphoria, dysphoria, confusion, sedation
Nausea, vomiting, constipation
Hypotension, bradycardia or tachycardia
Urinary hesitancy, dysuria
Respiratory depression, cough depression
Allergic reactions, pruritis Pain, irritation at injection site
![Page 8: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/8.jpg)
Opioids
Contraindications
Opiate allergies
Head injuries, increased intracranial pressure
Convulsions
Ulcerative colitis
Pulmonary diseases (asthma, COPD)
Renal or hepatic dysfunction
![Page 9: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/9.jpg)
Opioids
Not recommended during labor
Use caution with elderly
Not recommended for biliary surgery
Not recommended during lactation
Precautions
![Page 10: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/10.jpg)
Opioids
Opioid Naive
Tolerance Addiction
Precautions
![Page 11: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/11.jpg)
Opioids
Precautions
Opioids and Acetaminophen
Daily acetaminophen intake should NOT EXCEED 4 grams
![Page 12: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/12.jpg)
Opioids
Interactions
CNS Depressants
Use caution whenever two or more CNS depressants given
![Page 13: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/13.jpg)
Opioids
Special Circumstances
Opiates of Choice
CodeinePersistent Cough
MorphineMyocardial Infarct
MeperidineBiliary Surgery
![Page 14: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/14.jpg)
Opioids
Opiate Poisoning
miosis
Respirations < 10 / min
hypoxia
![Page 15: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/15.jpg)
Opioids
Opiate Antagonist
![Page 16: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/16.jpg)
Opioids
Patient Controlled Analgesia (PCA)
![Page 17: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/17.jpg)
Opioids
Epidural
![Page 18: Narcotic Analgesics and Anesthesia Drugs](https://reader035.fdocuments.net/reader035/viewer/2022062308/56812e37550346895d93a5a4/html5/thumbnails/18.jpg)
Opioids
Transdermal