front 1 Butorphanol (Stadol) | back 1 opioid agonist-antagonist Benefit: Less habituation Downside: Weaker Response |
front 2 Nalbuphine (Nubain) | back 2 opioid agonist-antagonist Benefit: Less habituation Downside: Weaker Response |
front 3 Narcan (Naloxone) | back 3 opioid antagonist |
front 4 Acetaminophen (Tylenol) | back 4 Analgesic, Antipyretic, not anti-inflammatory, blocks pain impulses by inhibiting prostaglandin synthesis CENTRALLY, liver is main organ of concern, |
front 5 Acetylcysteine (Mucomyst) | back 5 antidote for acetaminophen |
front 6 NSAIDs | back 6 Inhibition of leukotriene pathway, prostaglandin pathway, or both, Organs of concern: stomach and kidneys |
front 7 Salicylates (Aspirin) NSAID | back 7 anti-inflammatory, anti platelet, antipyretic |
front 8 Misoprostol (Cytotec) | back 8 inhibits acid and stimulates production of mucus, help with effects of NSAIDs, Cat X |
front 9 Corticosteroids (Prednisone) | back 9 • Strong anti-inflammatory medications (at all levels) |
front 10 Triptans (Imitrex) | back 10 Stop migraine while happening; vasoconstriction |
front 11 Ergot Alkaloids: Migranal | back 11 To abort migraine if triptans unsuccessful; vasoconstriction |
front 12 Lidocaine (Xylocaine) | back 12 local anesthetic; an amide that stops axonal conduction by blocking sodium channels; primary use is medical or dental procedures; more towards cox 1 |
front 13 Celecoxib (Celebrex) | back 13 COX-2 inhibitor selective |
front 14 Procaine (Novocain) | back 14 ester local anesthetic |
front 15 Etomidate (Amidate) | back 15 general anesthetic; GABA enhancing; Sedative Stage IV |
front 16 Propofol (Diprivan) | back 16 general anesthetic Stage IV |
front 17 NMBDs | back 17 prevent nerve transmission in certain muscles, resulting in muscle paralysis, do not cause sedation or pain relief |
front 18 Succinylcholine (Anectine) | back 18 Depolarizing neuromuscular blocker, short half life, muscle contracts and slowly relaxes |
front 19 Mivacurium (Mivacron) | back 19 Non-depolarizing neuromuscular blocker agent, prevent contraction, longer half life |
front 20 Benzodiazepines | back 20 Sedative hypnotic, anxiolytic, depress CNS activity |
front 21 Diazapam (Valium) | back 21 Class: Benzodiazepine, long acting; sedative- hypnotic;
anticonvulsant; schedule IV drug. |
front 22 Alprazolam (Xanax) | back 22 Benzodiazepine (intermediate acting) |
front 23 Lorazepam (Ativan) | back 23 Benzodiazepine (intermediate acting) |
front 24 Temazepam (Restoril) | back 24 Benzodiazepine (intermediate acting) |
front 25 Flumazenil (Romazicon) | back 25 Benzodiazepine antidote |
front 26 Nonbenzodiazepine hypnotics | back 26 used to treat insomnia; Zolpidem (Ambien), Eszoplicone (Lunesta) |
front 27 Barbituates | back 27 Enhance GABA, inhibit nerve impulses in the cerebral cortex, enzyme inducers, sedative, AED |
front 28 Phenobarbital (Luminal) | back 28 Barbiturate |
front 29 muscle relaxants | back 29 Act to relieve pain associated with skeletal muscle
spasms |
front 30 Baclofen (Lioresal) | back 30 Muscle Relaxant |
front 31 Cyclobenzaprine (Flexeril) | back 31 Muscle Relaxant |
front 32 Methocarbamol (Robaxin) | back 32 Muscle Relaxant |
front 33 Ketorolac (Toradol) | back 33
class: nonsteroidal anti-inflammatory agents,
nonopioid analgesics |
front 34 Ibuprofen (Advil, Motrin) | back 34 NSAID |
front 35 Naproxen (Aleve) | back 35 NSAID |
front 36 Nitrous Oxide | back 36 • Analgesia caused by suppression of pain mechanisms in the
CNS |
front 37 Opioid Agonists | back 37 Analgesic response |
front 38 Morphine | back 38 Opioid Analgesic, Cat 2 agonist |
front 39 Hydromorphone (Dilaudid) | back 39 Opioid agonist, 7-10x stronger than morphine, Cat 2 |
front 40 Fentanyl (Duragesic) | back 40 opioid agonist, 100x stronger than morphine, must be on opioids already to receive |
front 41 Antiepileptic Drugs (AEDs) | back 41 Drugs that reduce or prevent seizures |
front 42 Carbamazepine (Tegretol) | back 42 Desensitizes Na channels, avoid grapefruit juice, normal level is 4-12 mcg/mL |
front 43 Hydantoins | back 43 phenytoin, fosphenytoin |
front 44 Phenytoin (Dilantin) | back 44 Anticonvulsant except for absence, 10-20 mcg/mL, highly bound to protein, give with saline |
front 45 Fosphenytoin (Cerebyx) | back 45 Anticonvulsant, version of phenytoin that has to be metabolized by the liver |
front 46 Valporic Acid (Depakene) | back 46 50-100 mcg/mL, anticonvulsant, hepatotoxic |
front 47 Lamotrigine (Lamictal) | back 47 Anticonvulsant, can result in Stevens-Johnson syndrome |
front 48 Second-Line Anti-epileptic Drugs | back 48 Not used by themselves |
front 49 Gabapentin (Neurontin) | back 49 used for neuropathic pain and anticonvulsant |
front 50 Pregabalin (Lyrica) | back 50 Anticonvulsant and for neuropathic pain |