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ATI PHARM unit 4

Chapter questions-meds for pain and inflammation

Morphine Sulfate (match w/therapeutic use) Gold standard opioid used for moderate to severe acute/chronic pain.
Fentanyl (therapeutic use) 80 to 100 times more potent than morphine
Codeine (therapeutic use) Cough suppression
Amitriptyline(Elavil) Neuropathic pain
Naloxone(Narcan) Opioid antagonist/reversal agent
Which of the following methods provides the most effective pain control? Administering analgesics on a fixed schedule around the clock (fixed schedule provides continous pain relief)
A client taking colchicine to preven acute gout attacks calls his PCP reporting diarrhea, nausea, and vomiting. What instructions should the clt be given? Stop taking the med, and come see PCP ASAP. (signs of GI toxicity)
Which are potential adverse effects of aspirin? Tinnitus, GI upset/ulceration, platelet interference, Reye's syndrome. (hepatotoxicity is a potential adverse effect of acetaminophen overdoses.)
Which of the following opioids cause CNS toxicities w/repetitive dosing and should not be used for more than 48hrs? Meperidine(Demerol) Repeated use can result in accumulation of normeperidine, which can result in seizures and neurotoxicity. Do not administer more than 600 mg/24hr, limit to less than 48hr.
Which of the following opioids is available as a transdermal patch? fentanyl (it will take numerous hrs to achieve therapeutic effect. Administer short-acting opioids prior to onset of therapeutic effects and for breakthrough pain.)
Sumatriptan (imitrex) is contraindicated for clients with Coronary artery disease. (they have impaired coronary blood flow. Med can cause coronary vasospasms, which could further compromise coronary blood flow.)
Created by: krislynn