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Morphine
PSY 315
Question | Answer |
---|---|
admin GI tractin | iv im sc oral |
distribution | all body tissues, binds to blood proties> kidneys liver lungs and spleen |
metab | live>biotransfermation |
excretion | through kidneys in 24 hrs 7-10% |
Pharm effects | CNS: euphoria and analgesia GI TRACT: constipation, expanded intellect, hypnote effects, cardiovascular (skin vasodialation) |
clicnal apps | -clincial analgesics -sometines hypnotes -terminal illness use -epidural pain killer |
side effects | -constiption -respitory depresion (medulla/pons) -nasea -slight drop in body temp -imbalance in neurodorine output |
meperidine | -demoral, pethadol -1rst synthetic analgsic -similar action to morphinem but must be admistered more often |
fentanyl | -sublimaze -synthetic morphine 8 times more ptent then morphine |
methadone | -morphine like agonist -used for morphine withdrawl other opiates -ms agonsits |
LAAM | -synthetic opiate similar to morphine .5 life of 2-6 days> less admin the methadone |
Naloxone | prototype of opiate antagonists that compley blocks recetors mu receptors opiate wwithdrawl |
Nalrexone | -revia -competitre opite antagonist |
antagonists | inhibits certainreceptors but doesnt affect others |
morphinelike agonists | stimulates certain receptors but doenst affect others |
agonsits antagonists | stimulates certain recptors and antagonizes others |
partial agonists | partially stimualtes certain receptors and antagonizes others |
what is naloxone used for | -opiate poisoning (op) -diagonosis of opiate addiction -examination of body own opiates |
opiate withdrwal | -goose flesh -hot/cold flashes -running of bodily fluids - limb twtiching nightmirrors -stomach cramos, diarrhea, vomitting |
key probs for naractic addiact | -med. use leading to addiaction -social circumstance of use -instant/intence euphria -aversion to withdrwak symtoms |
principals that tcs operate | 1) no such thing as ex-abuser 2) reliance on mutual support 3) use of continual cofession and cathorsis |