N677 Controlled Substance Exam Questions and Answers Solved 100% Correct!!

List 3 common classes and examples of drugs often prescribed as adjunctive first line therapies in combination with analgesics, opioids and non-opioid for pain. - Answer Serotonin-norepinephrine reuptake inhibitors (SNRIs), tricyclic antidepressants (TCAs) and skeletal muscle relaxants. In addition, Cox-2 inhibitors, NSAIDs and Tylenol can be used. SSRI (antidepressants), Antiepileptic (Neurontin and Lyrica) and Local and Regional Anesthetics (Joint injections, cortisone injections) Which DEA Schedule has the least potential for abuse? - Answer Schedule V. Which DEA Schedule has the most potential for abuse? - Answer Schedule I. Most potential for abuse that are able to be prescribed by APRN's is Schedule II. What are some common side effects of opioid medications? - Answer slowed physical activity, constriction of pupils and flushing of face & neck, constipation, drowsiness, nausea, and vomiting, itching, respiratory depression, confusion. What is the maximum dose of Lidocaine into a subcutaneous site at one time? What drug can be added to Lidocaine for subcutaneous injection to potentiate its effects? - Answer Lidocaine without epinephrine: 4.5 mg/kg, max 300mg or 30mL. Lidocaine with epinephrine: 7 mg/kg, max 500 mg or 50 mL of lidocaine 1 percent with epinephrine. Epinephrine 0.01mg/ml (just needed the strength that can be injected at the time with Lidocaine) Can Nurse Practitioners furnish or prescribe drugs or devices to family members or friends? - Answer No. To furnish drugs, one must perform adequate physical exams, professionally and objectively to determine needs. Prescribing controlled substances and other drugs for self and family raises many ethical questions. Certified NPs who hold active prescribing or furnishing licenses and valid DEA registration numbers can prescribe or order controlled substances from what schedules? - Answer II-V with valid DEA number. Certain MAT/OUD medications require extra education/training through SAMHSA in California to prescribe Suboxone, Buprenorphine, and other OUD medications. What are the criteria for being classified as dangerous controlled substance drugs by the federal Drug Enforcement Agency (DEA)? - Answer High potential for abuse Have acceptable medical uses in the USHave the potential to cause severe psychological or physical dependence if abused What schedule is it? Methylphenidate (Ritalin) Diazepam (Valium), Lomotil, Marijuana (THC), Fentanyl (Duragesic), Morphine, Guaifenesin/Hydrocodone (Hycotuss), Acetaminophen/Hydrocodone (Norco, Vicodin), AndroGel (Testosterone), Phentermine, Alprazolam (Xanax), Carisoprodol (Soma), Zolpidem (Ambien), Adderall (amphetamine/dextroamphetamine), Methadone - Answer Methylphenidate (Ritalin) Schedule II Diazepam (Valium), Schedule IV Lomotil, Schedule V Marijuana (THC), Schedule I Fentanyl (Duragesic), Schedule II Morphine, Schedule II Guaifenesin/Hydrocodone (Hycotuss), Schedule II Acetaminophen/Hydrocodone (Norco, Vicodin), Schedule II AndroGel (Testosterone), Schedule III Phentermine, Schedule IV Alprazolam (Xanax), Schedule IV Carisoprodol (Soma), Schedule IV Zolpidem (Ambien), Schedule IV Adderall (amphetamine/dextroamphetamine)Schedule II Methadone Schedule II Vicodin has been changed from a Schedule _____ to a Schedule____drug due to its increased risk of abuse and addiction. - Answer III to II 1. List two (2) different Schedule I substances (of which NPs are not permitted to prescribe). - Answer Marijuana, Heroin, Peyote, LSD, Ecstasy. What class of pain medications typically should not be ordered for a renal-impaired patient (GFR 50 ml/min)? - Answer NSAIDS. NSAIDs and higher doses of Aspirin are not recommended for those with kidney impairment. In general, lowest effective dose should be prescribed. What class of pain medications typically should not be ordered for a moderately hepatic-impaired patient, or must be hepatic dosed adjusted? - Answer Acetaminophen. Drugs with Acetaminophen combination (Hydrocodone, oxycodone combos) According to the Pharmacotherapeutics for Advanced Practice Providers textbook, pure opioid agonists such as Morphine have the effects such as respiratory depression. From your textbook, list 5 more possible effects of pure opioid agonists. - Answer Hypotension Confusion SedationNauseaVomitingHallucinations EuphoriaDepression of cough reflexes ParesthesiaMiosisConstipationNeurotoxicity Cough medications with codeine or antidiarrheal are what type of Scheduled medication? - Answer Schedule V. Cough medicines containing no more than 200 milligrams of codeine per 100 milliliters or per 100 grams