NSG 533 Pharm Exam 2| 2025-2026 LATEST UPDATED| REAL EXAM AND
COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100%
VERFIED | ALREADY GRADED A+
1. What would you be concerned with regarding the first patient's use of
Vicodin in terms of the dose acetaminophen?: In elderly patients, it is
recommended not to exceed >3,000mg per day of acetaminophen.
2. What medication could you recommend for a diabetic patient in pain
that could also be used to help treat depression?: SNRIs; either duloxetine or
venlafaxine have been successfully used in diabetic peripheral neuropathy.
3. In addition, be sure to understand which non-opiod medications you
would use for a patient with neuropathic pain.: Gabapentin, pregabalin,
transdermal lidocaine, TCAs.
4. If a patient has a true allergy to morphine, what opioid, if any, could you
try instead?: True opioid allergies are rare. When a true allergy is present, an
agent from another opiate classed should be used. For example, a patient with a
true opiate allergy could receive fentanyl.
, 5. Know the common side effects which opioids can cause:: Excessive
sedation (reduce dose by 25%), constipation (senna, dulcolax, N/V (hydroxyzine/
diphenhydramine), gastroparesis, vertigo, resp. depression, CNS irritability.
6. Know the WHO pain treatment algorithm:: Mild pain (1-3) non-opioid
analgesic scheduled ATC
Moderate pain (4-6) Add opioid to scheduled non-opioid ATC
Severe pain (7-10) Switch to high dose opioid, ATC
7. Understand when you would use acetaminophen versus an NSAID or
an NSAID instead of acetaminopehn: NSAIDs work best on inflammatory pain
or pain mediated by prostaglandins (RA, menstrual and post-surgical pain) and
bony metastasis. NSAIDS come with increased GIB risk and renal impairment.
APAP is a good first line for mild to moderate pain and considered the first line in
low back pain and osteoarthritic. APAP hepatotoxicity has occured in those w. liver
injury or chronic drinkers.
8. What class of prophylaxis for migraines should be avoided in
asthmatics?: Beta blockers would usually be a medication used in the
prophylaxis of migraines but this would not be the best choice in an asthmatic.
COMPLETE QUESTIONS AND ANSWERS | 100% RATED CORRECT | 100%
VERFIED | ALREADY GRADED A+
1. What would you be concerned with regarding the first patient's use of
Vicodin in terms of the dose acetaminophen?: In elderly patients, it is
recommended not to exceed >3,000mg per day of acetaminophen.
2. What medication could you recommend for a diabetic patient in pain
that could also be used to help treat depression?: SNRIs; either duloxetine or
venlafaxine have been successfully used in diabetic peripheral neuropathy.
3. In addition, be sure to understand which non-opiod medications you
would use for a patient with neuropathic pain.: Gabapentin, pregabalin,
transdermal lidocaine, TCAs.
4. If a patient has a true allergy to morphine, what opioid, if any, could you
try instead?: True opioid allergies are rare. When a true allergy is present, an
agent from another opiate classed should be used. For example, a patient with a
true opiate allergy could receive fentanyl.
, 5. Know the common side effects which opioids can cause:: Excessive
sedation (reduce dose by 25%), constipation (senna, dulcolax, N/V (hydroxyzine/
diphenhydramine), gastroparesis, vertigo, resp. depression, CNS irritability.
6. Know the WHO pain treatment algorithm:: Mild pain (1-3) non-opioid
analgesic scheduled ATC
Moderate pain (4-6) Add opioid to scheduled non-opioid ATC
Severe pain (7-10) Switch to high dose opioid, ATC
7. Understand when you would use acetaminophen versus an NSAID or
an NSAID instead of acetaminopehn: NSAIDs work best on inflammatory pain
or pain mediated by prostaglandins (RA, menstrual and post-surgical pain) and
bony metastasis. NSAIDS come with increased GIB risk and renal impairment.
APAP is a good first line for mild to moderate pain and considered the first line in
low back pain and osteoarthritic. APAP hepatotoxicity has occured in those w. liver
injury or chronic drinkers.
8. What class of prophylaxis for migraines should be avoided in
asthmatics?: Beta blockers would usually be a medication used in the
prophylaxis of migraines but this would not be the best choice in an asthmatic.
