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level: Narcotics: Table 26.1 external reference

Questions and Answers List

level questions: Narcotics: Table 26.1 external reference

QuestionAnswer
Narcotic agonists: Codeine: Dosage/Route:Adult: 15-60 mg PO, IM, IV, or subcutaneous q4-6h; 10-20 mg PO q4-6h for cough Pediatric 0.5 mg/kg PO,IM, or subcutaneous q4-6h; 2.5-10 mg PO q4-6h for cough
Narcotic agonists: Codeine: Usual indications:Relief of mild to moderate pain; relief of coughing induced by mechanical or chemical irritation of the respiratory tract.
Narcotic agonists: Fentanyl (actiq, Duragesic): Dosage/Route:Adult: 0.005-0.1 mg IM, 30-60 min before surgery; 0.002 mg/kg IV or IM during surgery; 0.05-0.1 mg postoperatively; 5mcg/kg transmucosally; for transdermal patch, calculate the previous day's narcotics need and use tablet to convert to patch strength; sublingual tablet or nasal spray--- initially 100 mcg to a maximum of 800 mcg a dose sublingually or as a nasal spray in one nostril for treatment of breakthrough cancer pain Pediatric (>2 yl: 2-3 mcg/kg IM or IV; base transmucosal dose on weight and do not exceed 400 mcg
Narcotic agonists: Fentanyl (actiq, duragesic): usual indication:For analgesia before, during, and after surgery; transdermal patch for management of chronic pain; control of breakthrough pain
Narcotic agonists: Hydrocodone (Hycodan): Usual indication:Relief of cough; relief of moderate pain in combination products
Narcotic agonists: Hydromorphone (Dilaudid): Usual indication:Relief of moderate to severe pain in adults
Narcotic agonists: Levorphanol (Levo-Dromoran): Usual indication:Management of moderate to severe pain in adults; postoperative pain in adults
Narcotic agonists: meperidine (Demerol): Usual indication:Relief of moderate to severe pain, preoperative analgesia and support of anesthesia, and obstetrical analgesia.
Narcotic agonists: methadone (Dolophine): Usual indication:Relief of severe pain; detoxification and temporary maintenance treatment of narcotic addiction in adults
Narcotic agonists: morphine (Roxanol, astramorph): Usual indication:Relief of moderate to severe chronic and acute pain; preoperatively and postoperatively during labor.
Narcotic agonists: opium (paragonid): Usual indication:Treatment of diarrhea, relief of moderate pain
Narcotic agonists: oxycodone (OxyContin, Oxectal): Usual indication:Relief of moderate to severe pain in adults
Narcotic agonists: oxymorphone (numorphan): Usual indication:Relief of moderate to severe pain in adults; preoperative medication; obstetrical analgesia
Narcotic agonists: remifentanil (Ultiva): Usual indication:Analgesic for use during general anesthesia Special considerations: must be under the direct supervision of anesthesia practitioner.
Narcotic agonists: Sufentanil (sufental): Usual indication:Analgesic for use during general anesthesia; used as an epidural agent in labor and delivery Special consideration: must be under the direct supervision of anesthesia practitioner.
Narcotic agonists: Tapentadol (Nucynta): Usual indication:Relief of moderate to severe pain in patients 18 year and older Special considerations: risk of serious serotonin syndrome if combined with SSRIs, MAO inhibitors, TCAs, St. John's wort
Narcotic agonists: Tramadol (ultram): Usual indication:Relief of moderate to moderately severe pain Special consideration: limit use in patients with a history of addictions
Narcotic agonists-antagonists: Buprenorphine (buprenex): Usual indication:Treatment of mild to moderate pain
Narcotic agonists-antagonists: Butorphanol (Stradol): Usual indication:Used as preoperative medication to relieve moderate to severe pain; treatment of migraine headaches; with fewer peripheral adverse effects than many of the traditional antimigraine drugs
Narcotic agonists-antagonists: Nalbuphine (Nubain): Usual indication:Relief of pain during labor and delivery; used as adjunct to general anesthesia; treatment of moderate to severe pain in adults
Narcotic agonists-antagonists: Pentazocine (Talwin): Usual indication:Relief of moderate to severe pain during labor and delivery; treatment of postpartum pain; used as adjunct to general anesthesia
Narcotic antagonists: naloxone (Narcan): Usual indication:Diagnosis of narcotic overdose, reversal of opioid effects
Narcotic antagonists: Naltrexone (ReVia): Usual indication:Adjunct treatment of alcohol or narcotic dependence in adults