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NSG 552: Exam 3 – Questions With Solutions
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NSG 552: Exam 3 – Questions With Solutions
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NSG 552: Exam 3 – Questions With SolutionsNarcan: Drug Class? Right Ans - Potent Opioid antagonist
Narcan: Indication Right Ans - Opiate overdose
What med should be routinely prescribed for all patients with an opioid use
disorder? Right Ans - Narcan
What type of half life does Narcan have? Right Ans - A short half-life
Methadone: Other name for Methadone? Right Ans - Dolophine
Methadone: Drug Class Right Ans - Long acting full opioid receptor agonist
at mu receptor.
How many times can you use Methadone daily? Right Ans - 1 time
Where can you usually get Methadone? Right Ans - Federally licensed
substance abuse treatment programs
Methadone: What is the precaution to taking this med? Right Ans - QTC
prolongation cardiac abnormalities
What are the other names for Buprenorphine? Right Ans - Buprenex
Soblocade
What is the name for Buprenorphine/Naloxone Combo? Right Ans -
Suboxone
What is the drug class of Buprenorphine? Right Ans - Partial Opioid
receptor agonist/ opioid antagonist
How does Buprenorphine work? Right Ans - Decreases cravings
What is the precaution with buprenorphine / Suboxone? Right Ans - Can
precipitate withdrawal if used too soon after a full opioid agonist.
,Why can buprenorphine/suboxone precipitate withdrawal if used too soon
after a full opioid agonist? Right Ans - It will displace any residual opioids
from mu receptors.
What preparation of suboxone is safer? Right Ans - Sublingual
What do you need to prescribe suboxone in outpatient settings? Right Ans -
A Waiver
What can be used to manage pain in a patient with opioid use disorder and
comorbid pain? Right Ans - Suboxone
What forms is suboxone available? Right Ans - Buccal film
Sublingual film
Sublingual tab
What forms is buprenorphine available? Right Ans - Sublingual tab
Subdermal implant
SQ injection
Naltrexone: Drug Class Right Ans - Competitive opioid receptor antagonist
Naltrexone: When can it precipitate withdrawal? Right Ans - If used within
7 days of heroin use
In what forms is Naltrexone available? Right Ans - Orally or monthly depot
injection.
Naltrexone: Indications Right Ans - Treatment of choice for highly
motivated patients for ETOH and Opioid use disorders.
Naltrexone: Precaution Right Ans - Risk for LFT elevation
What is the available po form on Naltrexone? Right Ans - Revia
What is the available IM form on Naltrexone? Right Ans - Vivitrol
What can inappropriate use of opioids indicate? Right Ans - A patient's
pain is uncontrolled
, What are symptoms of Opioid Intoxication? Right Ans - Miosis
Hypotension
Bradycardia
Low RR
Unconsciousness
What is miosis? Right Ans - constriction of the pupil
What is the treatment for opioid intoxication? Right Ans - Naloxone
(Narcan)
What are symptoms of opioid withdrawal? Right Ans - Anxiety
Lacrimation
Muscle ache
abdominal cramps
diarrhea
seizures
What is the treatment for opioid withdrawal? Right Ans - Buprenorphine/
Naloxone (Suboxone)
Clonidine
Bentyl
Buprenorphine: When administered for detoxification and not maintenance,
what is it more effective for? Right Ans - Suppressing and controlling
symptoms of withdrawal as the taper nears completion when compared with
methadone.
What are the symptoms of cocaine intoxication? Right Ans - Auditory
hallucinations
Agitation
Violent Behavior
Hypertension
Tachycardia
Muscle Twitching
What is the treatment for cocaine intoxication? Right Ans - Lorazepam
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