Exam (elaborations)
NR546 Week 6 test your knowledge quiz with correct answers
- Course
- Institution
NR546 Week 6 test your knowledge quiz with correct answers
[Show more]
Content preview
NR546 Week 6 test your knowledge quiz withcorrect answers
Addiction iis ioften idriven iby ithe iclient's iattempts ito: i- iANSWER: i i➡ iself-medicate ian iunderlying
imental ihealth idisorder
adverse ieffects iassociated iwith ithe iacute iuse iof iopioids: i- iANSWER: i i➡ i-Itching
-Constipation
-Respiratory idepression
-Urinary iretention
-Sedation
Opioid imedication: iMorphine i- iANSWER: i i➡ i-Prototype iopioid iagonist
-indicated ifor iacute ipain
-binds ito iopioid ireceptors iin ithe iCNS, iinhibiting iascending ipain ipathways, ialtering ithe
iperception i& iresponse ito ipain
-also iproduces iCNS idepression iand ipotentially irespiratory idepression
*may ibe ilife-threatening, iespecially iif iutilized iwith ibenzodiazepines, iCNS idepressants, ior
ialcohol
onset iof iaction:
-immediate irelease iformulation iis ipatient-dependent, iwith ivariable iabsorption. i
-IV iis i5-10 iminutes, iwith ia iduration i3-5 ihours. i
-Also iavailable iin icontrolled irelease iformulation i(MS iContin) iand iextended-release imorphine
i(Avinza).
Opioid imedication: iFentanyl i- iANSWER: i i➡ i-has ian ialmost iimmediate ionset iof iaction iwhen
igiven iIV, iwith ia iduration iof i0.5-1 ihour
-More ipotent ithan imorphine, ibut ishort iduration iof iaction
,-the ipreferred iopioid ifor ithose iunable ito itolerate imorphine ior ihydromorphone iand iin ithose iwith
isevere ihepatic iand irenal idisease
-same iindications ias imorphine iand iis ialso iused ifrequently iin iprocedural isedation iand igeneral
ianesthesia
-Conversion ibetween ifentanyl iproducts iis iNOT imcg ifor imcg
Opioid imedication: iHydromorphone i- iANSWER: i i➡ i-Similar iopioid iagonist ias imorphine ibut
imore ipotent
-Oral iand iparenteral idoses iare inot iequivalent i(parenteral idoses iup ito i5 itimes imore ipotent)
Opioid imedication: iMeperidine i- iANSWER: i i➡ i-No ilonger irecommended ias ian ianalgesic, iand
inot iwidely iavailable. i
-Has inumerous iconcerning iadverse ieffects isuch ias iseizures iand idelirium.
Opioid imedication: iMethadone i- iANSWER: i i➡ i-Utilized iin idetoxification iand imaintenance
itreatment iof iopioid iaddiction iand iheroin iaddiction, iwith ihigh ivariability iamong ipatients
-long iacting iopioid ithat ibinds ito iand ioccupies imu-opioid ireceptors, ireducing icraving ifor iopioids
iand iprevents iwithdrawal isymptoms ifor i24 ihours
-potential ifor iabuse, ionly ilicensed iopioid itreatment iprograms ior ilicensed iinpatient ihospital
iunits ipermitted ito iorder iand idispense ithis imedication
-potential ifor ilife ithreatening irespiratory idepression iand iQT iprolongation
-Equianalgesic iconversion iratios ibetween imethadone iand iother iopioids iare iindividually
ivariable, iwith ideaths ioccurring iduring iconversion ifrom ichronic ihigh idose iopiate ihistory ior
iopioid iabuse ito imethadone
-Discontinuation irequires ia iwean ito iavoid iwithdrawal
-pregnant, ia irisk ibenefit iratio iis inecessary ias ifetal ioutcomes iare iimproved ias icompared ito
iillicit idrug iuse, ihowever ican ihave idecreased ibirth iweight, ilength, ihead icircumference iand ifetal
igrowth
Opioid imedication: iKetamine i- iANSWER: i i➡ i-Medication iuseful iin igeneral ianesthesia iand
iprocedural isedation
-off ilabel iusage ias iinfusions ifor iacute ipain, ias iboth ia istand-alone itreatment, ias ian iadjunctive
ioption iwith iopioids, ias iwell ias ian iintranasal iformulation.
, Opioid imedication: iTramadol i- iANSWER: i i➡ i-Opioid iagonist, iwith isimilar iindications iand iside
ieffect iprofile ias iother iopioids, ibut ithat ialso iblocks ireuptake iof iserotonin iand inorepinephrine.
-Indicated ifor iacute ipain imanagement, iwith iadded ibenefit ifor ipatients iwith ineuropathic ipain iand
inociceptive ipain. i
-Has ia ilower irisk iof iconstipation iand idependence ithan iother iopioids, ibut idoes ihave irisk iof
iserotonin isyndrome.
Opioid imedication: iNaloxone i- iANSWER: i i➡ i-pure iantagonist, iwith iclinical iindication ifor
itreatment iof iacute iopioid ioverdose. i
-IV inaloxone ican idramatically ireverse iopioids, ieven iin icomatose istates
-recent iwidespread icommunity iavailability iof iintramuscular iand iintranasal iadministration
ioptions iavailable igiven ithe iprescription iand irecreational iopiate icrisis, iand irelated ideaths. i-
Given ithe ishort iduration iof iaction, ipatients ican irelapse iinto icoma ior iprevious ioverdose istate,
iand imay ineed icontinued imonitoring iand ipotentially ifurther idoses ior iconstant iinfusion.
Opioid imedication: iClonidine i- iANSWER: i i➡ i-antihypertensive iagent, iand iAlpha2-Adrenergic
iAgonist
-off-label iadjunctive itreatment ifor imedically isupervised iopioid iwithdrawal. i
-Initial itreatment iis i0.1mg-0.2mg, iwith iability ito irepeat iup ito i4 idoses iuntil isymptoms iresolve,
iwhile iassuring istability iof iblood ipressure iand iheart irate. i
-Maintenance iwould ibe idetermined iby iseverity iof isymptoms, iwith itreatment ievery i6-8 ihours. i
-Thought ito iproduce ianalgesia iat ipresynaptic iand ipost ijunction ialpha-2 iadrenoceptors iin ithe
ispinal icord, iwith ipain itransmission ito ithe ibrain iprevented.
Substance iuse idisorder ioccurs iwhen: i- iANSWER: i i➡ iThe irecurrent iuse iof ia isubstance, isuch ias
ialcohol ior idrugs, icauses iclinically isignificant iimpairment, iincluding ihealth iproblems, idisability,
ior ifailure ito imeet iresponsibilities iat ihome, iwork, ior ischool.
Dual iDiagnosis iand iSubstance iUse iDisorders i- iANSWER: i i➡ iDual idiagnoses iare icommon iin
iaddiction imedicine
-up ito i60% iof iadolescents iin icommunity-based isubstance iuse idisorder itreatment iprograms
imay imeet ithe idiagnostic icriteria ifor ianother imental ihealth icondition
-Clients imay iself-medicate ito itreat idistressing isymptoms iof iother iconditions
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Fordenken. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $13.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
77333 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now