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Discussion Topics, Chapter 26, Narcotics, Narcotic Antagonists, and...
Discussion Topics, Chapter 26, Narcotics, Narcotic Antagonists, and Antimigraine Agents
During clinical, you are assigned to care for a client receiving morphine IV for control of postoperative pain. The clinical instructor has assigned you to explain the following:
- What role does morphine play in the gate control theory of pain? Your answer should include information on the actions of morphine.
What are the differences among narcotic agonists, narcotic agonists-antagonists, and narcotic antagonists? Your answer should be concise and include the prototype drug for each class.
Ms. Johns, an 80-year-old patient, has a history of difficulty swallowing pills and has had three heart attacks. She presented in the clinic with a complaint of recurring blinding headaches. After a complete workup, the medical diagnosis of migraine headache is determined. The health care provider recommends Ms Johns to start taking rizatriptan (Maxalt), because it is a fast-dissolving tablet, and sumatriptan (Imitrex) nasal spray.
- Based on Ms. Johns' history, are sumatriptan (Imitrex) and rizatriptan (Maxalt) the best drugs for her to take? Defend your answer.
Based on Ms. Johns' history, which of the triptans would you recommend as the best to treat her migraines? Defend you answer
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