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北京協(xié)和醫(yī)學(xué)院基礎(chǔ)醫(yī)學(xué)院藥理學(xué)系-資料下載頁

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【正文】 tics: ? Strong analgesic effect( 100 times of morphine) ? Many kinds of pain、 use with anesthetic ? Less addiction ? Untoward reactions are similar with morphine Contraindication: ? bronchial asthma, intracranial tumour and a caused by cerebral trauma 鎮(zhèn)痛新 (Pentazocine) Characteristics: ? Mixed opioid agonistantagonist,agonist κ、δ, antagonistμ ? Analgesia is 1/4 of morphine ? Less addiction―― NonNarcotics ? Use to chronic pain Abuse analgesics ? Drug abuse:take a psychoactive drug or performance enhancing drug for a nontherapeutic or nonmedical effect. ? Morphine: 3 times a day, last 12 weeks→addition ? Treatment of withdrawal syndrome : convince,decrement step by step, use methadone 、benzodiazepine to relieve symptoms. ? detoxification : ? gastric lavage by 1:2023 KMnO4 ? artificial respiration, O2 ? ? Respiratory Stimulants Examples of Pain Scales 按疼痛的性質(zhì)分類:銳痛、純痛、絞痛 ThreeStep Analgesic Ladder ? 2023,WHO has developed a standardized cancer pain treatment plan that is recognized and used worldwide. ? April 1991, Ministry of Public Health announced that our conutry should develop ThreeStep Analgesic Ladder in cancer pain therapy. ? It is based on the idea that analgesic (pain reliever) drug therapy provides the most effective pain relief for cancer patients. The three different steps refer to different binations of analgesics. Threestep Analgesic Ladder mild to moderate pain:use of nonopioids ( Aspirin,Ibuprofen,Indometacin) moderate pain:a bination of opioids and nonopioids should be tried ( Codeine,Tramadol) severe pain:opioids should be used ( Morphine、 Dihydroetorphine、 Pethidine) Thanks! 謝謝觀看 /歡迎下載 BY FAITH I MEAN A VISION OF GOOD ONE CHERISHES AND THE ENTHUSIASM THAT PUSHES ONE TO SEEK ITS FULFILLMENT REGARDLESS OF OBSTACLES. BY FAITH I BY FAIT
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