Pain Meds PDF

PharmacyTrainer Drug Flashcards EMT/ Paramedic Drugs ketamine (KETa meen) Brand Names: Ketalar Drug Class: Analgesics, centrally acting non-opioid; Anesthetics, general Dosage Forms: IV/IM (per 1m): 1Omg,50mg, 100mg, 500mg M.O.A.: Antagonizes NMDA receptors producing dissociative analgesia & sedatio...

PharmacyTrainer Drug Flashcards EMT/ Paramedic Drugs ketamine (KETa meen) Brand Names: Ketalar Drug Class: Analgesics, centrally acting non-opioid; Anesthetics, general Dosage Forms: IV/IM (per 1m): 1Omg,50mg, 100mg, 500mg M.O.A.: Antagonizes NMDA receptors producing dissociative analgesia & sedation EMT Pack PAIN/ ANESTHESIA DRUG Created with Scanner Pro © 2023 ketamine Indications: DEA General anesthesia; moderate/severe pain High Alert Hazardous Pregnancy Onset of Action Yes N Weigh risk 30 seconds G-l Pediatric Dose Adult Dose Contraindications 3month to 15 years Anesthesia Induction: 1-3 Anesthesia Induction: 1-4.5 mg/kg IV -or- 6.5-13 mg/kg IM mg/kg IV -or- 5-10 mg/kg IM Pain: 0.1-0.35mg/kg/dose IVIIO/IM/IN x1 Cardiac ischemialinfarction Penetrating ocular injury Stroke Severe hypertension Caution with Schizophrenia Common Adverse Rxns Precautions Important Notes Hypertension Hallucinations Delusions Tachycardia Hypersalivation Vomiting Emergence reactions V should be administered Adverse effect treatments: Over 60 seconds excess salivation = atropine emergence rxn= low dose W/o neuromuscular blocker, laryngospasm is most common resp side effect benzodiazepines laryngeal spasm= positive pressure ventilation Created with Scanner Pro K PharmacyTrainer Drug Flashcards EMT/ Paramedic Drugs ketorolac (KEE toe ROLEak) Brand Names: Generic only available Drug Class: Nonsteroidalanti-in ammatory(NSAID) Dosage Forms: Tablets: 10mg; IVIIM (per 1ml): 15mg, 30mg M.O.A.: Inhibits cyclooxygenase (COX1 & COX2), reducing prostaglandin and thromboxane synthesis; may also decrease proin ammatory cytokine activity EMT Pack PAIN/ANESTHESIA DRUG fl fl Created with Scanner Pro © 2023 ketorolac* * Often confused with Ketalar, Kenalog, Kerlone ndications: Management of acute mild to moderately severe pain DEA High Alert Hazardous Pregnancy Onset of Action N N N Not post 30wk PO: 30-60min IM/IV: -30min Pediatric Dose Adult Dose Contraindications 26 months: 0.5mg/kg/dose IM/IV q6h for up to 72hr Single dose: 60mg IM -or- Labor & delivery GI bleeding 30mg IV Breastfeeding Allergy to ASA (max dose 30rng IMor 15mg IV) IV/IM: 3Omg IM/IV g6h (max 120mg/day) PO: 10mg PO q4-6h (Max 40mg/d) or NSAIDS Coagulation Disorder Active bleeding Epidural or Intrathecal use Common Adverse Rxns Precautions Important Notes Headache Nausea/vomiting Abdominal pain Dizziness Bronchospasm Rash Edema lnjection site pain Tinnitus Solomnence HTN PO dosing is only for post parenteral therapy Decrease dose in pts >65 y/o by 50% due to age related decrease in renal fx For short term use only (up to 5 days) Increases the risk of serious and potentially fatal cardothrombic events Created with Scanner Pro M PharmacyTrainer Drug Flashcards EMT/ Paramedic Drugs morphine sulfate injection (MORfeen) Brand Names: Duramorph PF, Infumorph, Mitigo Drug Class: Opioid agonists Dosage Forms: IM/IV pre lledsyringes(per 1ml): 2mg, 4mg, 5mg, &mg, 10mg (Also available in IV Bags of various strengths containing D5W and NS) M.0.A.: Binds to opioid receptors producing analgesia/sedation EMT Pack PAIN DRUG fi Created with Scanner Pro © 2023 morphine sulfate* * Often confused with HYDROMOrphone, magnesium sulfate, meperidine, methadone Indications: DEA C-l| Severe acute and chronic pain; analgesia during labor High Alert Hazardous Pregnancy Onset of Action Yes N Weigh risk 5-10 minutes Adult Dose Contraindications 1-6 mo: 0.1mg/kg SC/IV g6hr prn (max 2.5 mg dose) 7mo-12ylo: 0.1-0.2 mg/kg SC/IV g4h prn (max 2.5mg dose) Intermittent: 2-1Omg SC/IM/IV g2-6hr prn Continuous: 0.8-10mg/hr IV Respiratory depression Severe bronchial asthma Hypotension (SBP < 100mmHg) Common Adverse Rxns Precautions Important Notes Respiratory depression/arrest Bradycardia Hypotension Chest muscle rigidity Nausea vomiting Somnolence Careful monitoring if administered FDA approved a REMS w/ benzodiazepine or ethanol use that may apply to some High abuse potential MS preparations Critical dosing errors may occur due to multiple concentrations Pediatric Dose Created with Scanner Pro PharmacyTrainer Drug Flashcards EMT/ Paramedic Drugs fentanyl (FENta nil) Brand Names: Actig, Lazanda,Fentora, Subsys Drug Class: Opioid agonists;anesthesia adjuncts Dosage Forms: IV/IM (per 1ml): 50mcg; SL: 100mcg, 200mcg, 400mcg, 600mcg, 800mcg; Lozenge: 200mcg, 400mcg, 600mcg, 800mcg, 1200mcg, 1600mcg; Nasal Spray (peractuation): 100mcg, 200mcg, 400mcg, 600mcg, 800mcg; Patch (mcg/ hr): 12mcg, 25mcg, 37.5mcg, 50mcg, 62.5mcg, 75mcg, 87.5mcg, 100mcg M.O.A.: Binds to opioid receptors producing analgesia/sedation EMT Pack PAIN DRUG Created with Scanner Pro © 2023 fentaNYL* Indications: DEA C-ll *Often confused with SUFentanil Severe chronic pain; breakthrough cancer pain High Alert Hazardous Pregnancy Onset of Action Yes N Weigh risk IV: 1-2 minutes Pediatric Dose Adult Dose Contraindications IVIIM: 0.5-1 mcg/kg over 2 min, q5min (max 100mcg /dose & IV/IM: 0.5-2mcg/kg over 2 min, q5min (max 100mcg /dose & total MAOI use within 14 days total dose of 3mcg/kg) 300mcg) Patch: 1 q72hr; Lozenge & SL: 1 dose x1 - MR after 30min Hypotension (SBP < 100mmHg) (max 4/day) Common Adverse Rxns Precautions Important Notes Respiratory depression/arrest Bradycardia Hypotension Chest muscle rigidity Nausea Ivomiting Somnolence Careful monitoring if administered w/ benzodiazepine or ethanol use Fentanyl & morphine belong to two different drug classes. May be used in morphine allergy. Created with Scanner Pro