Unfinished Test and Answers for Pharm 6

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1.

Discuss ways to identify a drug addict

2.

describe Naloxone (narcan)

3.

list 2 weak analgesic

4.

high 1st pass effect most abused drug in medical personnel

5.

purpose of mixed opioids

6.

Fentanyl combined with _____) allow a patient: to feel no pain remain awake will not move during a procedure (nasal intubation, bronchoscopy, cardiac catheterization)

7.

Most used opioid in dentistry

8.

Percocet

9.

What does agonists treat?

10.

Adverse reaction

11.

Name the drugs associated with neuroleptanalgesia

12.

What should you recommend an addict for pain relief?

13.

what is the most potent opioid

14.

Briefly explain the mechanism of action of opioid analgesics

15.

Identify different forms of administration for opioids

16.

define miois

17.

Tylenol #3

18.

how can opiods affect pregnancy

19.

discuss the pharmacokinetics

20.

if allergic to codeine, avoid

A.

apap+oxycodone

B.

Overdose treatment for opioids pure antagonist at all 3 receptors will competitively inhibit opioids Reverses CNS and respiratory depression Administered parenterally (injection/nasal)

C.

codeine Combined with acetaminophen (Tylenol # 3) Used in cough syrup as antitussive

D.

pain, diarrhea, cough

E.

constrict pupils

F.

Requests a specific pain medication Cancels dental appointments because will be out of town for days but wants Rx Complains of pain for days after minor procedure Claims a low pain threshold Moves from office to office Needs refill with no pain

G.

used for treating addiction and pain

H.

droperidol+fentanyl

I.

Opioids can be taken orally in tablet form or through a transdermal patch. Can be injected, snorted or smoked. Some in a nasal spray.

J.

hydromorphone (dilaudid)

K.

hydrocodone codeine mixtures

L.

apap+codeine

M.

can be used May prolong labor or cause fetal respiration depression near term.

N.

Morphine Hydromorphone (Dilaudid) Hydrocodone (Vicodin) Oxycodone (percodan, percocet)

O.

Droperidol

P.

Absorption Absorbed well orally Also absorbed from lungs, oral/nasal mucosa, and skin Distribution First-pass effect if taken orally Pass the placenta

Q.

NSAID

R.

Bind to receptors in the CNS (brain and spinal cord) Alter reaction to pain

S.

merpidine (dermol)

T.

respiratory depression cause vasodilation intercranial pressure nausea constipation miosis urinary retention xerostomia

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