2
EXAM WITH QUESTIONS & ELABORATE
ANSWERS
aloxone - CORRECT ANSWER-MOA: Pure opioid antagonist that competes and
n
displaces opioids at opioid receptor sites.
ethadone, buprenorphine, buprenorphine+naloxone - CORRECT
m
ANSWER-Treatments for opioid use disorder.
uprenorphine+naloxone - CORRECT ANSWER-Treatment for opioid use disorder with
b
comorbid pain.
pioids - CORRECT ANSWER-Inappropriate use of what substance may be due to
o
uncontrolled pain?
tablet, injectable, implant - CORRECT ANSWER-Naltrexone delivery methods.
implant - CORRECT ANSWER-Form of naltrexone limited to inpatient use.
uprenorphine - CORRECT ANSWER-Mu receptor partial agonist for opioid
b
withdrawal.
uprenorphine - CORRECT ANSWER- Taking this medication too soon after the last
b
opioid use increases the chances of intense withdrawal that comes on very quickly
(precipitated withdrawal).
pioid intoxication - CORRECT ANSWER- Symptoms include nausea and vomiting,
o
respiratory depression, constipation, itching, and miosis (small pupil). The patient will
experience euphoria and sedation.
pioid withdrawal - CORRECT ANSWER- Symptoms include N/V/D and dehydration,
o
irritability, restlessness, yawning, and twitching, increased HR/BP, chills, increased
temperature, rhinorrhea, lacrimation,and dilated pupils.
aloxone - CORRECT treatment for opioid intoxication during which cardiac or
n
respiratory depression is a concern.
, c ocaine intoxication - CORRECT ANSWER-Symptoms include dilated pupils, HA,
tremor, hyper-reflexia, twitching, seizures, or coma, increased HR/BP, arrhythmias, and
MI, N/V, incontinence/ARF, or rhabdomyolysis
c ocaine intoxication - CORRECT ANSWER-Treatment includes BZD, antipsychotics,
and management of medical problems including HTN, stroke, cardiac arrhythmias,
hyperthermia, and seizures.
c ocaine - CORRECT ANSWER-The use of beta blockers for treatment of chest pain
and MI during this intoxication is to be avoided due to unopposed a adrenergic
stimulation.
lcohol intoxication - CORRECT ANSWER-Signs vary with blood levels, from
a
decreased reaction time, muscle incoordination, ataxia, dysarthria, to respiratory failure
and coma.
s evere alcohol intoxication - CORRECT ANSWER-Treatment includes cardiopulmonary
function maintenance, thiamine, and haloperidol PRN agitation.
thiamine - CORRECT ANSWER-Given IM/IV for 3 days to prevent Wernicke's
encephalopathy, along with IV fluids and a banana bag.
enzodiazepines - CORRECT ANSWER-Class of drugs to avoid for acute alcohol
b
intoxication.
ncomplicated alcohol withdrawal - CORRECT ANSWER-Treatment includes BZD in
u
either symptom triggered or fixed dose; diazepam and chlordiazepoxide have a longer
half life, and oxazepam and lorazepam are suitable for patients with hepatic
dysfunction.
iazepam and chlordiazepoxide - CORRECT ANSWER-BZDs with a long half-life used
d
to treat AUD.
xazepam and lorazepam - CORRECT ANSWER-BZDs with moderate half-life used in
o
AUD patients with liver disease.
lcohol withdrawal seizures - CORRECT ANSWER-Treatment includes diazepam IV or
a
lorazepam IV/IM, thiamine IV/IM, and addressing electrolyte imbalances.