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TTC Analgesics
| Question | Answer |
|---|---|
| What are the side effects most often associated with narcitic analgesics? | dizziness, drowsiness, nausea, vomiting, constipation |
| How much acetaminophen should not exceed in a 24 hour period? | 4g or 4000mg |
| What auxilary label should go on most prescriptions for a controlled substance? | transfer, may cause drowsiness, avoid alcohol |
| What group of drugs when used with narcotic analgesics could cause there to be more depression of the central nervous system? | general anesthetics, agonist, antagonist, sedative, hypnotic, skeletal muscle relaxants, analgesics |
| How many refills can you have with a schedule II drug? | none |
| How many refills are allowed for schedule III,IV, and V drugs? | 5 within 6 months |
| Which schedule II drug may cause some dizziness but controls pain more effectively while allowing the patient to remain alert? | Fetanyl |
| Which narcotic has an onset of action less than 30 minutes? | Lortab(hydrocodone w/apap) |
| Which drug when used with MAOI's or TCA's might increase the effects of either? | Vicoprofen, Tramadol, Lortab, Ultracet, Methadone, Imitrex |
| Which drug when used with aspirin or aspirin containing products increases the plasma clearance of the drug? | Vicoprofen |
| Which drug may decrease the effects of beta blockers? | Vicoprofen |
| Which drug may decrease the actions of loop diuretics? | Vicoprofen |
| Which drug when used with warfarin increases the liklihood of having a GI bleed? | Vicoprofen |
| With which drug might the patient need to use short acting analgesics for the first 24 hours of therapy and thereafter for breakthrough pain? | Duragesic |
| What auxiliary labels should be placed on a prescriptions for Ultram and Ultracet? | May be habit forming, avoid alcohol, may take w/food or milk, may cause drowsiness |
| What auxiliary labels should be placed on Imitrex? | no alcohol, may cause drowsiness & dizziness |
| Which drug may increase the effects of CNS depressants such as hypnotics, centrally acting analgesics, opioids, or psychotropic drugs including MAOI's, TCA's, and SSRI's? | Tramadol, Ultracet |
| MAOI's have been shown to increase the half life of which drug? | Sumatriptan (imitrex) |
| Which medication is worn for 72 hours at a time? | Fetanyl (Duragesic) |
| Which drug is dosed 6mg at first sign or symptom then repeat in 1hr if still symptoms still present? | Imitrex (inj) |
| Which drug is dosed take 25mg at 1st sign or symptom and then repeat every 2hrs if symptoms still present not to exceed 300mg/24hrs? | Imitrex (tab) |
| Which drug is dosed at the 1st sign or symptom and then every 2hrs if symptoms continue but not to exceed 40mg/24hrs? | Imitrex (nasal spray) |
| With which drug might the first dose be given in the doctor's office? | Imitrex |
| With which drug does the patient need to be instructed how to use the autoinjector? | Imitrex |
| With which drug should the administer of ergotamine containing preparations be separated by 24hrs? | Imitrex |
| Which drug when taken with food it will delay the onset of pain relief? | Tramadol, Ultracet |
| Which drug is sometimes used in combination with an NSAID? | Tramadol |
| Which drug should be applied to non-irritated skin and the hair at the application site should be clipped not shaved and the site should be cleaned with water only and be completely dry upon application? | Fentanyl (Duragesic) |
| This controlled release tablet should not be broken, crushed, or chewed because it could lead to toxic effects? | Oxycodone, Morphine |
| Which drug should be applied to the upper torso of the body above the knees and elbows? | Fetanyl (Duragesic) |
| Which med should be used immediately after removal from package and pressed firmly in place for 10 to 20 seconds? | Fetanyl (Duragesic) |
| Skin products should not be used at the application site of this drug? | Fetanyl (Duragesic) |
| This drug should be applied to a different site each time it is replaced? | Fetanyl (Duragesic) |
| Which med should be kept out of the reach of children and disposed of properly by folding it over on itself and flushing it down the toilet? | Fetanyl (Duragesic) |
| Which med should not be cut or punctured as that will effect drug delivery? | Fetanyl (Duragesic) |
| Which drug in its inj form may be used as a pre-op med and is used extinsively for open heart surgery? | Sublimaze |
| Which drug in its lozenge or lollipop form is used extensively in children? | Actia |
| Which drug in its patch form provides stable blood levels of the drug? | Fentanyl |
Created by:
Meggen Cox
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