100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
NURS660-EXAM4 Questions & 100% correct Answers- Latest Test | Graded A+ | Passed $10.49   Add to cart

Exam (elaborations)

NURS660-EXAM4 Questions & 100% correct Answers- Latest Test | Graded A+ | Passed

 7 views  0 purchase
  • Course
  • NURS660
  • Institution
  • NURS660

Methadone is a _____ mu opioid receptor agonist. Side effects include _____ and _____ ;-- Full. Constipation, sedation. Buprenorphine (suboxone) is a _____ at the opioid receptor. Often combined with naltrexone to prevent abuse ;-- Partial agonist Naloxone (Narcan) is a mu receptor _____ . ...

[Show more]

Preview 3 out of 17  pages

  • August 26, 2024
  • 17
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NURS660
  • NURS660
avatar-seller
TestTrackers
Excellence is key | 2024/2025 ~Page |1




NURS660-EXAM4 Questions & 100% correct
Answers- Latest Test | Graded A+ | Passed
Methadone is a _____ mu opioid receptor agonist. Side effects include _____ and _____

✓ ;-- Full. Constipation, sedation.



Buprenorphine (suboxone) is a _____ at the opioid receptor. Often combined with naltrexone

to prevent abuse

✓ ;-- Partial agonist



Naloxone (Narcan) is a mu receptor _____ . it has little effect compared to buprenorphine

(usually 1:4 ratio).

✓ ;-- Antagonist



When buprenorphine/naloxone is injected or inhaled the ANTAGONIST effects of _____

dominate and w/d symptoms are precipitated

✓ ;-- Naloxone



Overdose is much more likely with ____ than _____

✓ ;-- Methadone (full agonist) > buprenorphine (partial agonist)



Extended-release buprenorphine can be dosed ____

✓ ;-- Subcutaneous once per month after demonstrating tolerability for 1-week oral dosing



Naltrexone (ReVia) is a Mu receptor antagonist. Consideration before starting _____


26/08/2024 | © Copyright- This work may not be copied for profit.

, Excellence is key | 2024/2025 ~Page |2


✓ ;-- Opiate free 7-10d or w/d symptoms



Naltrexone (ReVia) is available as once-monthly injection. How does it work? ____

✓ ;-- Blocks Mu receptors to prevent euphoric effects if patient relapses. Helps with abstinence
to eliminate reward



3 meds FDA approved for AUD

✓ ;-- Disufiram, Acamprosate, Naltrexone. Off-label = Gabapentin and topiramate



NIAAA defines 'At risk' for men _____. Women _____. Above age 65 _____

✓ ;-- Men= 4/day, 14/week. Women= 3/day, 7/week. >65= same as for women



Binge drinking for men _____, for women=_____

✓ ;-- Men= 5 in 2 hrs. Women= 4 in 2 hrs



Describe transmitters involved in etOH withdrawal

✓ ;-- Over time alcoholics up-regulate Glutamate to match the excess GABA. When there's a
withdrawal there is a relative excess



Timeline of alcohol withdrawal

✓ ;-- Minor- within 36 hrs. Seizures- 1-2d. Hallucinosis- 1-2d. DT's- 1-4d



Disulfiram (Antabuse) adverse effects

✓ ;-- Metallic taste, hepatotoxicity, optic neuritis, peripheral neuropathy. (causes physically ill
from buildup of acetaldehyde)




26/08/2024 | © Copyright- This work may not be copied for profit.

, Excellence is key | 2024/2025 ~Page |3


Acamprosate (Camral), how does it work?

✓ ;-- Dosed 3x's/day. Cleared renally. Glutamate receptor modulator.



How does naltrexone (ReVia) work in alcohol cessation.

✓ ;-- Blocks opioid Mu receptors and secondary dopamine (reduce pleasure and cravings)



Naltrexone extended release (Vivitrol) adverse effects

✓ ;-- Nausea, vomiting, precipitated opioid withdrawal, depression, elevated LFT's



Mild withdrawal starts within ____ hours and resolve in _____. These include:

✓ ;-- 6-24. resolve 1-2 days. Tremor, anxiety, headache, insomnia, GI upset



Hallucinations start within _____ and resolve in _____

✓ ;-- 12-24 hrs, resolve 1-2days



Moderate and Severe withdrawal starts within _____ and lasts _____

✓ ;-- 1-3 days, can last 5-7



DT's start _____ and can last _____

✓ ;-- 3-4 days and last 2-3 days



Triad of Wernicke's

✓ ;-- Encephalopathy, oculomotor dysfunction, gait ataxia (often progresses to Korsakoff
syndrome)




26/08/2024 | © Copyright- This work may not be copied for profit.

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

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

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

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 TestTrackers. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $10.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

79223 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$10.49
  • (0)
  Add to cart