Chapter questions-meds for pain and inflammation
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each of the black spaces below before clicking
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| Morphine Sulfate (match w/therapeutic use) | Gold standard opioid used for moderate to severe acute/chronic pain.
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| Fentanyl (therapeutic use) | 80 to 100 times more potent than morphine
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| Codeine (therapeutic use) | Cough suppression
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| Amitriptyline(Elavil) | Neuropathic pain
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| Naloxone(Narcan) | Opioid antagonist/reversal agent
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| 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)
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| 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)
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| 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.)
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| 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.
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| 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.)
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| 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.)
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