CNS Opiate Agonists/Antagonists & Stimulants

32 terms by escarborough2 

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pentazocine

talwin

pentazocine

partial opiate agonist

pentazocine

Notes: Similar to morphine; may cause withdrawal

pain

pentazocine is a partial opiate agonist used for

respiratory

opiates will cause changes to the ____ rate

opiates

use care with _____ in the young and old because we worry about them being able to metabolize any drug

intracranial pressure

opiates can increase this so use them with care in head injured patients

suppress respirations

watch opiate use during pregnancy, labor and delivery, because it might do this to an infant

respiratory reserve

use opiates with care in patients when this is decreased

CNS depressants

be careful of drug interactions with these type of drugs when using alcohol

anticholinergics

be careful of constipation when using these type of drugs

naloxone

narcan

naloxone

Use: Treatment of narcotic overdose; ↓ respiratory depression post-operatively or in overdose; opiate antagonist

naloxone

Notes: Will induce withdrawal syndrome—this may be life-threatening (not often, but may happen with pts. w seizure disorders or heart problems) These are used for supportive care.; opiate antagonist

naloxone

opiate antagonist

CNS stimulants

most of these re based on either amphetamines or caffeine

CNS stimulants

Mechanism of Action - ↑ release of NE in CNS resulting in ↑ alertness, ↓ fatigue, mood elevation; class of drugs

CNS stimulants

are all related to norepinephrine and elicit the fight or flight response; class of drugs

CNS stimulants

used in patients with Narcolepsy, ADD in children (may accelerate "slow-rate" behavior while suppressing "fast-rate" behavior).; class of drugs

CNS stimulants

users should be monitored for growth, high blood pressure, sleep disorders. Drug holidays should be strongly encouraged. Watch for abuse!; class of drugs

d-Amphetamine

dexedrine

d-Amphetamine

Adderall

d-Amphetamine

Notes: These may cause restlessness, tremor, headache, and dizziness.; CNS stimulant

methylphenidate

ritalin

methylphenidate

concerta

methylphenidate

metadate

methylphenidate

Notes: high BP, weight loss; do NOT use with MAOIs or in seizure disorders. Extended release (1 a day), usually decreases appetite. Wear off by the end of the day.; CNS stimulant

atomexitine

strattera

atomexitine

Notes: Less potential for abuse; not controlled. Raises BP, increases NE release. Good for adults and older kids; CNS stimulant

behavior modification

has been proven to be the best way to treat ADD

caffeine

is in lots of OTC preps to either ↑ alertness, constrict vessels (headache, cold preps) or to enhance water excretion.; CNS stimulant

caffeine

Examples include Goody's powder, Excedrin, and Aquaban.; CNS stimulant

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