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2024 NR 565 WEEK 2 EXAM WITH CORRECT ANSWERS
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2024 NR 565 WEEK 2 EXAM WITH CORRECT ANSWERS
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2024 NR 565 WEEK 2 EXAMWITH CORRECT ANSWERS
Examples of pure opioid agonists - CORRECT ANSWERS-Examples of full
agonists are heroin, oxycodone, methadone, hydrocodone, morphine, opium
and others.
Risk factors for Opioid Use Disorder - CORRECT ANSWERS-Stress
Prior alcohol or drug rehabilitation
Heavy tobacco use
History of anxiety or severe depression
Young age
Poverty
Unemployment
Personal or family history of substance abuse
History of criminal activity or legal problems including driving under the
influence (DUI)
Thrill-seeking behavior
Issues with past employers, friends or family members
Regular contact with high-risk environments or people
Methadone
o Black Box Warning
o Benefits of use in opioid use disorder - CORRECT ANSWERS-Methadone is a
prescription medication that works in the brain to treat pain and opioid use
disorder. Opioids include heroin and prescription pain relievers such as
hydrocodone, oxycodone, morphine, fentanyl, and methadone. Though
methadone is in the same family as opioids, its long activity in the body
makes it suitable for reducing cravings for other opioids and easier to taper a
person off of these drugs. It is important to combine methadone treatment
with counseling and other support.
Patients taking methadone may develop heart-related effects that can lead
to irregular heartbeats, which can cause sudden death. Your doctor will want
to ask you questions about heart disease and monitor your heart regularly
during treatment.
Methadone may cause serious, life-threatening, or fatal decrease in
breathing. Your doctor may monitor you closely for breathing, especially
when beginning treatment with methadone or when increasing your dose.
, This medication has an opiate drug in it. The FDA has found that the use of
opiate drugs with benzodiazepine drugs or other sedating medications can
result in serious adverse reactions including slowed or difficult breathing and
death. Benzodiazepine drugs include drugs like alprazolam, clonazepam, and
lorazepam. Benzodiazepine drugs are used to treat health problems like
anxiety, trouble sleeping, or seizures. Patients taking opioids with
benzodiazepines, other sedating medications, or alcohol, and caregivers of
these patients, should seek immediate medical attention if they start to
experience unusual dizziness or lightheadedness, extreme sleepiness,
slowed or difficulty breathing, or unresponsiveness.
Buprenorphine and Naloxone
o Benefit of using this combination - CORRECT ANSWERS-Because of
buprenorphine's opioid effects, it can be misused, particularly by people who
do not have an opioid dependency. Naloxone is added to buprenorphine to
decrease the likelihood of diversion and misuse of the combination drug
product.
Treatment of chronic pain
o Use of pregabalin
o Sedation, dizziness, and ataxia are more commonly linked to pregabalin.
Gastrointestinal bleeding may be caused by COX-2 inhibitors and NSAIDs. -
CORRECT ANSWERS-This medication is used to treat pain caused by nerve
damage due to diabetes or shingles (herpes zoster) infection.
Guiding principles for prescribers - CORRECT ANSWERS-1. Be clear about the
reasons for prescribing
2. Take into account the patient's medication history before prescribing
3. Take into account other factors that might alter the benefits and risks of
treatment
4. Take into account the patient's ideas, concerns, and expectations
5. Select effective, safe, and cost effective medicines individualised for the
patient
6. Adhere to national guidelines and local formularies where appropriate
7. Write unambiguous legal prescriptions using the correct documentation
8. Monitor the beneficial and adverse effects of medicines
9. Communicate and document prescribing decisions and the reasons for
them
10. Prescribe within the limitations of your knowledge, skills and experience
What is used to calculate a patient's overdose risk? - CORRECT ANSWERS-
Dosages at or above 50 MME/day increase risks for overdose by at least
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