Action: Mode – Sev Pain Relieves pain by depressing the central nervous system.
Adverse reactions/side effects: RESPIRATORY DEPRESSION, Constipation, vertigo, fatigue
Dose: IM IV 2.5 – 10mg q2-3 hr, initial 10-30 mg
Notes: Rash/hives – from iv or epidural morphine. Don’t stop because of little itching.
Note: MAO alert Step III. Binds to CNS receptors. For Heart Patients: chest pain, pulm edema. Cancer, anxiety, nonproductive cough.
Action: Moderate to severe pain metabolized to normeperidine and accumulated in renal insufficient clients. Toxic increases seizure risk
Adverse reactions/side effects: SEIZURES, confusion, sedation, hypotension, constipation, nausea, vomiting
Dose: p. o,. 50-100 q3-4 hr, IV 15-35 mg/hr NOT for clients > 65yrs. Avoid > 48hrs.
Note: MAO alert, Contraindicated w/impaired renal function. Short acting, irritating to tissues.
Action: mod – severe pain. Lower doses for suppressing cough
Adverse reactions/side effects: confusion, sedation, hypotension, constipation
Dose: PO 1-4 mg q4-6
Note: MAO alert – risk for hypertension, resp. depression. Muscle ridigidity, coma, sezieures, deth.
Action: mod – severe pain. Lower doses for suppressing cough.
Adverse reactions/side effects: confusion, dizziness, sedation, hypotension, constipation, dyspepsia, nausea
Dose: PO 2.5-5 mg q4 hr
Note: MAO alert
Be aware of acetaminophen when used in combination drugs.Vicodin, Norco, Lortab
Action: Mild – Moderate Pain. Not as effective as morphine.
Adverse reactions/side effects: constipation
Dose:15-60 mg q4-6
Action: Transdermal Patch for chronic-terminal cancer pain
Adverse reactions/side effects: APNEA, LARYNGOSPASM (RESPIRATORY DEPRESSION IF BY PO)
Dose- 0.5 – 1 mcg/kg patch, transmucosal(Buccal)
Note: MAO alert
Action: mild-moderate pain
Adverse reactions/side effects: dizziness, weakness, nausea
Dose: PO 65mg q 4 hr (1 T)
Notes: MAO alert
Avoid with older adults, toxic metabolic
Action: Chronic pain. anticonvulsants
Adverse reactions/side effects: confusion, depression, drowsiness, ataxia
Dose: PO adults 300mg tid
Notes: Renal Impairment