NSG552 EXAM 2026 COMPLETE
QUESTIONS WITH ANSWERS
◉Narcan. Answer: Treatment of choice for opiate overdose
It is prescribed routinely for all patients with opiate use disorder
Very short half-life
◉Methadone. Answer: Long acting full opioid receptor agonist at mu
receptor
Restricted use to abuse trx facilities
Monitor for QTC prolongation(cardiac abnormalities
◉Suboxone. Answer: Opiod agonist/ antagonist
Decreased cravings
Can precipitate withdrawals if used too soon after full opioid
agonist-it will displace any residual opioids from the mu receptors
Sublingual preparation that is safer
Waiver needed to prescribe outpatient
Useful for patients with opiate use disorder with comorbid pain
Suboxone can be used in pain management
◉Naltrexone. Answer: competitive opiod antagonist
,Precipitate withdrawal if used within 7 days of heroine use
Available orally or monthly depot injections
Treatment of choice for highly motivated patients
Risk for LFT elevation
◉Opoid(Heroin). Answer: Intoxication: miosis, hypotension,
bradycardia, Low RR, unconscious
Trx: Naloxone
Withdrawal: Anxiety, lacrimation, muscle aches, abdominal cramps
and diarrhea, seizures
Mgt: Buprenorphine/naloxone, clonidine, Bentyl
It is more effective at suppressing and controlling withdrawal than
methadone
◉Cocaine. Answer: Intoxication: Auditiory hallucinations, agitation,
violent behavior, muscle twitching, HTN, Tachycardia
Txt: Lorazepam
Withdrawal: Antabuse use in cocaine use d/o= increases dopamine
in the brain reward circuit and act as an agonist trx in the setting of
cocaine use d/o
◉Cocaine induced chest pain and MI. Answer: Txt: Nitoglycerin,
Aspirin
No Metoprolol
, Beta blockers are contraindicated in patients with cocaine induced
chest pain-lowers coronary blood flow thereby worsening ischemia
◉Alcohol intoxication. Answer: Impaired fine motor control
Impaired judgment and coordination
Ataxic gait and poor balance
Lethargic, difficulty sitting upright, difficulty with memory
Nausea/Vomiting
Coma=Levels 300mg/dl and over
Respiratory depression and death possible
◉Alchohol withdrawal. Answer: Mild: Insomnia, irritability, Hand
tremor
Moderate: Autonomic hyperactivity(diaphoresis, tachy, HTN), HTN
Severe: Seizures(12-48 hours consumption); hallucinations; delium
tremens(48-96 hrs after last drink)
Anxiety
Anorexia
Nausea/Vomiting
Psychomotor agitation
Use CIWA to monitor withdrawal
QUESTIONS WITH ANSWERS
◉Narcan. Answer: Treatment of choice for opiate overdose
It is prescribed routinely for all patients with opiate use disorder
Very short half-life
◉Methadone. Answer: Long acting full opioid receptor agonist at mu
receptor
Restricted use to abuse trx facilities
Monitor for QTC prolongation(cardiac abnormalities
◉Suboxone. Answer: Opiod agonist/ antagonist
Decreased cravings
Can precipitate withdrawals if used too soon after full opioid
agonist-it will displace any residual opioids from the mu receptors
Sublingual preparation that is safer
Waiver needed to prescribe outpatient
Useful for patients with opiate use disorder with comorbid pain
Suboxone can be used in pain management
◉Naltrexone. Answer: competitive opiod antagonist
,Precipitate withdrawal if used within 7 days of heroine use
Available orally or monthly depot injections
Treatment of choice for highly motivated patients
Risk for LFT elevation
◉Opoid(Heroin). Answer: Intoxication: miosis, hypotension,
bradycardia, Low RR, unconscious
Trx: Naloxone
Withdrawal: Anxiety, lacrimation, muscle aches, abdominal cramps
and diarrhea, seizures
Mgt: Buprenorphine/naloxone, clonidine, Bentyl
It is more effective at suppressing and controlling withdrawal than
methadone
◉Cocaine. Answer: Intoxication: Auditiory hallucinations, agitation,
violent behavior, muscle twitching, HTN, Tachycardia
Txt: Lorazepam
Withdrawal: Antabuse use in cocaine use d/o= increases dopamine
in the brain reward circuit and act as an agonist trx in the setting of
cocaine use d/o
◉Cocaine induced chest pain and MI. Answer: Txt: Nitoglycerin,
Aspirin
No Metoprolol
, Beta blockers are contraindicated in patients with cocaine induced
chest pain-lowers coronary blood flow thereby worsening ischemia
◉Alcohol intoxication. Answer: Impaired fine motor control
Impaired judgment and coordination
Ataxic gait and poor balance
Lethargic, difficulty sitting upright, difficulty with memory
Nausea/Vomiting
Coma=Levels 300mg/dl and over
Respiratory depression and death possible
◉Alchohol withdrawal. Answer: Mild: Insomnia, irritability, Hand
tremor
Moderate: Autonomic hyperactivity(diaphoresis, tachy, HTN), HTN
Severe: Seizures(12-48 hours consumption); hallucinations; delium
tremens(48-96 hrs after last drink)
Anxiety
Anorexia
Nausea/Vomiting
Psychomotor agitation
Use CIWA to monitor withdrawal
