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NR 546 WEEK 6 TEST CASE STUDY WITH QUESTIONS AND WELL VERIFIED ANSWERS GRADED A+[ACTUAL EXAM 100%] $24.19   Add to cart

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NR 546 WEEK 6 TEST CASE STUDY WITH QUESTIONS AND WELL VERIFIED ANSWERS GRADED A+[ACTUAL EXAM 100%]

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  • Ati mental health
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  • Ati Mental Health

NR 546 WEEK 6 TEST CASE STUDY WITH QUESTIONS AND WELL VERIFIED ANSWERS GRADED A+[ACTUAL EXAM 100%] Addiction is often driven by the client's attempts to: - ANS---selfmedicate an underlying mental health disorder adverse effects associated with the acute use of opioids: - ANS---- Itching ...

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  • April 11, 2024
  • 30
  • 2023/2024
  • Exam (elaborations)
  • Questions & answers
  • nr 546 week 6 test
  • Ati mental health
  • Ati mental health
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jackwa
NR 546 WEEK 6 TEST CASE STUDY WITH
QUESTIONS AND WELL VERIFIED
ANSWERS GRADED A+[ACTUAL EXAM
100%]




Addiction is often driven by the client's attempts to: - ANS✔✔---self-
medicate an underlying mental health disorder

adverse effects associated with the acute use of opioids: - ANS✔✔----
Itching

-Constipation

-Respiratory depression

-Urinary retention

-Sedation

Opioid medication: Morphine - ANS✔✔----Prototype opioid agonist

-indicated for acute pain

,-binds to opioid receptors in the CNS, inhibiting ascending pain
pathways, altering the perception & response to pain

-also produces CNS depression and potentially respiratory depression

*may be life-threatening, especially if utilized with benzodiazepines,
CNS depressants, or alcohol



onset of action:

-immediate release formulation is patient-dependent, with variable
absorption.

-IV is 5-10 minutes, with a duration 3-5 hours.

-Also available in controlled release formulation (MS Contin) and
extended-release morphine (Avinza).

Opioid medication: Fentanyl - ANS✔✔----has an almost immediate
onset of action when given IV, with a duration of 0.5-1 hour

-More potent than morphine, but short duration of action

-the preferred opioid for those unable to tolerate morphine or
hydromorphone and in those with severe hepatic and renal disease

-same indications as morphine and is also used frequently in
procedural sedation and general anesthesia

-Conversion between fentanyl products is NOT mcg for mcg

Opioid medication: Hydromorphone - ANS✔✔----Similar opioid agonist
as morphine but more potent

-Oral and parenteral doses are not equivalent (parenteral doses up to 5
times more potent)

Opioid medication: Meperidine - ANS✔✔----No longer recommended
as an analgesic, and not widely available.

-Has numerous concerning adverse effects such as seizures and
delirium.

, Opioid medication: Methadone - ANS✔✔----Utilized in detoxification
and maintenance treatment of opioid addiction and heroin addiction,
with high variability among patients

-long acting opioid that binds to and occupies mu-opioid receptors,
reducing craving for opioids and prevents withdrawal symptoms for 24
hours

-potential for abuse, only licensed opioid treatment programs or
licensed inpatient hospital units permitted to order and dispense this
medication

-potential for life threatening respiratory depression and QT
prolongation

-Equianalgesic conversion ratios between methadone and other
opioids are individually variable, with deaths occurring during
conversion from chronic high dose opiate history or opioid abuse to
methadone

-Discontinuation requires a wean to avoid withdrawal

-pregnant, a risk benefit ratio is necessary as fetal outcomes are
improved as compared to illicit drug use, however can have decreased
birth weight, length, head circumference and fetal growth

Opioid medication: Tramadol - ANS✔✔----Opioid agonist, with similar
indications and side effect profile as other opioids, but that also
blocks reuptake of serotonin and norepinephrine.

-Indicated for acute pain management, with added benefit for patients
with neuropathic pain and nociceptive pain.

-Has a lower risk of constipation and dependence than other opioids,
but does have risk of serotonin syndrome.

Opioid medication: Naloxone - ANS✔✔----pure antagonist, with
clinical indication for treatment of acute opioid overdose.

-IV naloxone can dramatically reverse opioids, even in comatose
states

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