NSG552 EXAM 3 QUESTIONS AND
ANSWERS
naloxone6-6ans--
MOA:6Pure6opioid6antagonist6that6competes6and6displaces6opioids6at6opioid6receptor6sit
es.
methadone,6buprenorphine,6buprenorphine+naloxone6-6ans--
Treatments6for6opioid6use6disorder.
buprenorphine+naloxone6-6ans--Treatment6for6opioid6use6disorder6with6comorbid6pain.
opioids6-6ans--Inappropriate6use6of6what6substance6may6be6due6to6uncontrolled6pain?
tablet,6injectable,6implant6-6ans--Naltrexone6delivery6methods.
implant6-6ans--Form6of6naltrexone6limited6to6inpatient6use.
buprenorphine6-6ans--Mu6receptor6partial6agonist6for6opioid6withdrawal.
buprenorphine6-6ans--
Taking6this6medication6too6soon6after6last6opioid6use6increases6the6chances6of6intense6w
ithdrawal6that6comes6on6very6quickly6(precipitated6withdrawal).
opioid6intoxication6-6ans--
Symptoms6include6nausea6and6vomiting,6respiratory6depression,6constipation,6itching,6m
ioisis6(small6pupil).6Patient6will6experience6euphoria6and6sedation.
opioid6withdrawal6-6ans--Symptoms6include6N/
V/D6and6dehydration,6irritability,6restlessness,6yawning,6and6twitching,6increased6HR/
BP,6chills,6increased6temperature,6rhinorrhea,6lacrimation,6dilated6pupils.
naloxone6-6ans--
Treatment6for6opioid6intoxication6during6which6cardiac6or6respiratory6depression6is6a6con
cern.
, cocaine6intoxication6-6ans--Symptoms6include6dilated6pupils,6HA,6tremor,6hyper-
reflexia,6twitching,6seizures,6or6coma,6increased6HR/BP,6arrhythmias,6and6MI,6N/
V,6incontinence/ARF,6or6rhabdomyolysis
cocaine6intoxication6-6ans--
Treatment6includes6BZD,6antipsychotics,6and6management6of6medical6problems6includin
g6HTN,6stroke,6cardiac6arrhythmias,6hyperthermia,6and6seizures.
cocaine6-6ans--
The6use6of6beta6blockers6for6treatment6of6chest6pain6and6MI6during6this6intoxication6is6to6
be6avoided6due6to6unopposed6a6adrenergic6stimulation.
alcohol6intoxication6-6ans--
Signs6vary6with6blood6levels,6from6decreased6reaction6time,6muscle6incoordination,6ataxi
a,6dysarthria,6to6respiratory6failure6and6coma.
severe6alcohol6intoxication6-6ans--
Treatment6includes6cardiopulmonary6function6maintenance,6thiamine,6and6haloperidol6P
RN6agitation.
thiamine6-6ans--Given6IM/
IV6for636days6to6prevent6Wernicke's6encephalopathy,6along6with6IV6fluids6and6a6banana6b
ag.
benzodiazepines6-6ans--Class6of6drugs6to6avoid6for6acute6alcohol6intoxication.
uncomplicated6alcohol6withdrawal6-6ans--
Treatment6includes6BZD6in6either6symptom6triggered6or6fixed6dose;6diazepam6and6chlor
diazepoxide6have6a6longer6half6life,6and6oxazepam6and6lorazepam6are6suitable6for6patie
nts6with6hepatic6dysfunction.
diazepam6and6chlordiazepoxide6-6ans--BZDs6with6a6long6half-life6used6to6treat6AUD.
oxazepam6and6lorazepam6-6ans--BZDs6with6moderate6half-
life6used6in6AUD6patients6with6liver6disease.
alcohol6withdrawal6seizures6-6ans--Treatment6includes6diazepam6IV6or6lorazepam6IV/
IM,6thiamine6IV/IM,6and6addressing6electrolyte6imbalances.
DT6-6ans--
Treatment6includes6acute6care6management,6parenteral6diazepam6or6lorazepam,6thiami
ne,6and6antipsychotics6if6necessary.
disulfiram6-6ans--
MOA6is6via6negative6reinforcement,6where6drinking6is6avoided6due6to6unpleasant6effects.