PPT-Opiate Analgesics Susan Stickevers, MD

Residency Program Director SUNY Stony Brook Dept of PMampR Opioid Misuse Abuse is a Major Public Health Problem Improper use of opiates can result in serious adverse events including overdose and death . ER/LA Opioid Analgesics REMS WebsiteProposed REMS Updates June 05, 2014Pageof Patients considered opioid tolerantare those who are taking at least 60 mg oral morphine/day, 25 mcg transdermal fentan Drugs for Treating . P. ain. Perception of Pain. Emotion. S. ocial . and environmental . context. S. ocio-cultural background. Beliefs. Attitudes. P. ersonal expectations. Physical perturbations. P. sychological . 205b. Neuromuscular Blocking Agents (NMBAs). Cause skeletal muscle weakness or paralysis for purpose of preventing movement. Neuromuscular Blocking Agents (NMBAs). Cause skeletal muscle weakness or paralysis for purpose of preventing movement. By Erika Lyon. In 1820 Susan Brownell Anthony was born in Adams, Massachusetts. Her father was a hardworking Quaker who believed that women deserved an education.. Susan’s father owned a mill where young women like herself wove cotton into cloth.. Kermon. Kim Shufran. . T. here . is Nothing Wrong with Me After All. !. Odd. Quirky. Strange. Peculiar. Bizarre. Unusual. Weird. Unique. Different. Interesting. Awkward. In getting to know her, I became aware of the tremendous struggle she has to just live.. Ben, Jacob, Jenna, & Nikita. Susan’s Story. Susan. , a 35 year-old teacher, has been referred to you from a psychologist who works in your building. She was being treated for depression and mild mood swings, but now that she has started having physical symptoms, the psychologist thinks she needs a neurology consult. Obviously nervous, Susan says, “You might think I am crazy, but sometimes my hands and feet just seem to move on their own, kind of like they are dancing.” She goes on to say that she remembers her mother experiencing the same thing a few weeks before she died. Sadly, her mother was killed in a car crash before the doctors could ever explore her symptoms. Other than the limb movement, Susan has noticed that she seems to be forgetting little details at work. She has a few bruises on her legs. When asked about them, she tells you that she has been a bit clumsy lately and seems to fall down more than she used to. . # Lab . 3# . Introduction. - Pain:. an unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage. - Analgesics :. Drugs used to relief or suppress the pain.. Evaluating the Risks and Benefits. Most Frequently Used OTC Analgesics. Reasons Why These Drugs Are Widely Used. What Limits the Use of OTC Drugs?. Adverse Effects of OTC Analgesics. Efficacy of Aspirin in Headache. NURS 1950. Pharmacology. Nancy Pares, RN, MSN. Metro Community College. 1. Pain is:. Pain tolerance is:. 2. Obj. 1 Define pain and Pain tolerance. Objective 2: Identify the factors which affect the individual’s response to pain. 2. Opiates & Opiate Blockers. We’ll talk about. Buprenex. Stadol. Vicodin. Demerol. Morphine sulfate. Fentanyl. Nubain . Trexan. Narcan. 3. Buprenex. buprenorphine. Class. Opioid analgesic (agonist – antagonist). Motivational Interviewing and. Recognizing our powerlessness as physicians. PART ONE. CMG Opiate Scrips. The top 7 CMG providers each have an average of . 425. currently active opiate prescriptions (written in the past two years) outstanding.. Predictable, frequent early morning (2AM to 5AM) headaches Low pain threshold upon physical or cognitive exertion Headaches accompanied by asthenia, nausea and other GI symptoms,restlessness, anxiety, 1-3. .. NSAIDs have anti-inflammatory, analgesic, and anti-pyretic proprieties, mediated by blockade of the COX enzymes, and subsequent inhibition of prostaglandin synthesis. 4,5. .. Several over-the-counter NSAIDs have demonstrated efficacy in treating headache and migraine. Narcotic. analgesics). Pain . is . . an unpleasant sensation that can be either . acute or chronic . and is a consequence of . neurochemical . processes in the peripheral . and . (CNS). . treatment .