Nr 565 Midterm 2023 Newest Updated 2024
What are therapeutic uses for morphine? - ANSWER-Pain, sedation, euphoria, resp depression, cough suppression, suppression of GI motility, reduces anxiety
What are therapeutic uses for Fentanyl? - ANSWER-•Chronic pain (PATCHES), acute pain, cancer pai...
What are therapeutic uses for morphine? - ANSWER-Pain, sedation, euphoria, resp depression, cough
suppression, suppression of GI motility, reduces anxiety
What are therapeutic uses for Fentanyl? - ANSWER-•Chronic pain (PATCHES), acute pain, cancer pain
When should a patient be referred to a pain specialist? - ANSWER-120mme/day
What is MME and when to use it? - ANSWER-Morphine milligram equivalent
Potency of an opioid
ID opioid prescription burden of a single person
What is the PDMP and when to use it? - ANSWER-Prescription drug monitoring program
Used when prescribing controlled substances
How to assess someone for possible drug diversion - ANSWER-UA screen
PDMP routine use
Risk Factors for OUD? - ANSWER-Family hx of abuse
personal hx of abuse
cross tolerance
mental illness
When to prescribe Naloxone? - ANSWER-With every opioid prescription
,When prescribing Medications, we must understand that the liver function declines with age d/t what?
A. Enlarged Liver
B. Decreased blood flow to liver
C. Increased activity of the hepatic enzymes - ANSWER-B. Decreased blood flow to liver
An 82 yo male visits the clinic complaining that his pain meds "take forever" to work after he takes his
pill. What are possible reasons you can explain to him as to why this may be happening.
A. Perhaps we need to increase your dose
B. Sometimes as you get older, absorption may be slower resulting in a delayed response
C. As we get older, the gastric acid decreases and may delay absorption - ANSWER-B. Sometimes as you
get older, absorption may be slower resulting in a delayed response
C. As we get older, the gastric acid decreases and may delay absorption
RA Characteristics
Onset
Affected population
Location
Joint stiffness duration
SxS - ANSWER-weeks-months
women>men
common hands, feet, & wrists
>60 min in AM
, local & sys.
OA Characteristics
Onset
Affected population
Location
Joint stiffness duration
SxS - ANSWER-years
men & Women equally
Hands & weight baring joints
<30min in AM
typically local
What might you expect to find in the synovial fluid of a pt with OA - ANSWER-Mild leukocytes
What might you expect to find in the synovial fluid of a pt with RA - ANSWER-Cloudy with leukocytes
Goals of Tx for RA - ANSWER-Sxs relief (pain, stiffness, inflammation,
maintaining joint fxn and ROM
minimize systemic involvement
delay progression
Typical pharm Txs for RA - ANSWER-NSAIDs, systemic steroids, antimalarials, antimetabolites, and
biologics
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