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Opiate Study Guide Spring 2024, Study Guides, Projects, Research of Nursing

Lewis-Clark State College (LCSC)Nursing

Opiate Study guide spring 2024

Typology: Study Guides, Projects, Research

2023/2024

Uploaded on 06/29/2025

breanna-burton
breanna-burton 🇺🇸

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Study Guide
Pain Meds
Pain
o5th vital sign- use pain scale
Pain scale 1-10
oAlways believe clients
oBe familiar with the WHO step-ladder
Step 1: Over the counter
Step 2: Opioid (mild pain)
Step 3: Opioid (Severe pain)
Nociceptive vs, neuropathic pain
oName a good drug choice for each type
Nociceptive: Damage to the tissues
A
Neuropathic:
Damage to the nervous system.
Chronic vs. Acute
oName a good drug choice for each type.
Chronic: Any pain lasting longer than 3 months
Ibuprofen
Acute: Caused by injury, surgery, illness, trauma, or painful
medical procedures.
Opioids
oCNS depressant
Tranquilizers, sedatives, and hypnotics..
oName 3 opioid receptors, which one is responsible for euphoria?
Kappa
Mu
Delta
Agonist – A substance that mimics the actions of a neurotransmitter or hormone
to produce a response when it binds to a specific receptor in the brain.
oHeroin, Oxycodone, Methadone, Hydrocodone, Morphine, Opium, and
others.
Antagonist – Blocks opioids by attaching them to the opioid receptors without
activating them.
oNaltrexone and naloxone
EMS 1-11
pf3
pf4

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Study Guide

Pain Meds

Pain o 5 th^ vital sign- use pain scale  Pain scale 1- o Always believe clients o Be familiar with the WHO step-ladder  Step 1: Over the counter  Step 2: Opioid (mild pain)  Step 3: Opioid (Severe pain)  Nociceptive vs, neuropathic pain o Name a good drug choice for each type  Nociceptive: Damage to the tissues  A  Neuropathic:  Damage to the nervous system.  Chronic vs. Acute o Name a good drug choice for each type.  Chronic: Any pain lasting longer than 3 months  Ibuprofen  Acute: Caused by injury, surgery, illness, trauma, or painful medical procedures.  Opioids o CNS depressant  Tranquilizers, sedatives, and hypnotics.. o Name 3 opioid receptors, which one is responsible for euphoria?  Kappa  Mu  Delta  Agonist – A substance that mimics the actions of a neurotransmitter or hormone to produce a response when it binds to a specific receptor in the brain. o Heroin, Oxycodone, Methadone, Hydrocodone, Morphine, Opium, and others.  Antagonist – Blocks opioids by attaching them to the opioid receptors without activating them. o Naltrexone and naloxone

Agonist-antagonist - name one  Adverse effects o Resp. depression- how can this be managed, is tolerance developed? o Sedation- how can this be managed, is tolerance developed? o Constipation- how can this be managed, is tolerance developed? o Nausea- how can this be managed, is tolerance developed?  Administration – pros and cons of each? o Po o IM o IV o PCA o ATC (around the clock) o PRN o Per rectum o Epidural, intrathecal o Topical  Meperidine o Why do we not like this drug?  Non- Narcotic and Adjuvant Pain medications o Name one  Can work well, but have some limitations....what are they?  Tylenol o Great for children o Toxic to liver in large amounts-fatal o How much is too much for adults?  ASA o Not for children- Reyes syndrome  NSAIDS o Ibuprofen - Why is it so great?  Addiction vs. Physical Dependence vs. Tolerance  Know the difference  How do you taper drugs?  Special Needs for Pain Management o Infants  Why? o Children

Oxycodone – 1. Codeine – 0. Hydrocodone – Methadone – Fentanyl – 1000