NU 150 - Galen - Pharm Test 3 Questions with
Verified Correct Answers
NSAIDs (actions)
Actions: Does not belong to steroid group of drugs Inhibit prostaglandin synthesis by
inhibiting an enzyme that triggers pain and inflammation.
NSAIDs (Therapeutic class)
Anti-inflammatory, Antipyretic, Analgesic
NSAIDs (examples)
ibuprofen (Motrin, Advil) indomethacin (Indocin) ketorolac (Toradol) naproxen (Naprosyn)
piroxicam (Feldene) celecoxib (Celebrex)
NSAIDs (uses)
Mild to moderate pain Rheumatoid Arthritis Osteoarthritis Dysmenorrhea
Morphine (uses)
Prototype or "model" opioid
Effective for moderately severe to severe pain Relief of severe cough (codeine) Pulmonary
Edema (morphine) Obstetric Analgesia (nubain) Pre-operative to lessen anxiety and sedate
Morphone (actions)
Actions on organs:
CNS: drowsiness, euphoria, sedation, mental clouding
Eye: pupil constriction (pinpoint pupil) (miosis)
Resp: depressed rate/depth of respirations and aggravation of asthma: suppress cough reflex
(codeine)
,GIT = ↓peristalsis in stomach & intestines; gastric, ↓pancreas/bile secretions; gallbladder
spasm (morphine) GUT = bladder contraction/spasm (urinary retention)
Skin: itching and rash
Morphone (adverse reactions)
Adverse reactions:
Physical dependence
Possible withdrawal symptoms upon discontinuing.
Opioid tolerance
Need to address the patient's pain because it takes priority over concerns about drug addiction
or physical dependence.
Symptoms of opioid withdrawal
Early signs
Yawning, perspiring, tearing, nasal drainage
Followed by:
Gooseflesh (goosebumps) • Abdominal cramps • Bone and muscle pain (rebound pain) • N/V,
diarrhea • Mydriasis (pupil dilation) • Intense craving for drug • Agitation • Elevated BP,
tachycardia • Seizures
Morphone (precautions)
Use cautiously in individuals with head injury, morbid obesity, and sleep apnea.
Precautions: Elderly: extreme confusion and hallucinations; smaller doses than younger adult
Undiagnosed abdominal pain Liver disease
Home use: Drug may cause drowsiness, dizziness • Caution with driving • Avoid alcohol •
Take med as directed • Explain how-to put-on patch
, Patient education on PCA machine:
Location of buttons • Regulation of dose and time interval • Assure machine will not deliver
dose until correct time • Pain relief should occur shortly after pushing button • Inform nurse if
pain not relieved after two doses
Naloxone (Narcan) (Use)
Complete or partial reverse of opioid effects after surgery or overdose
Naloxone (Narcan) (adverse reaction)
n/v, tachycardia, hypertension, return of postoperative pain, fever and dizziness
Hydrocodone (use)
severe pain
Hydrocodone (adverse reaction)
Sedation, sweating, headache, vertigo, lethargy, confusion, lightheadedness, nausea, vomiting
Meperidine (Demerol) opioid (use)
Acute moderate to severe pain, preoperative sedation, anesthetic adjunct
Meperidine (Demerol) opioid (adverse reaction)
Lightheadedness, constipation, dizziness, N/V, respiratory depression
Anticholinergic (glycopyrrolate) cholinergic blocking drug (uses)
Parasympathetic drug (rest and digestion)
Oral: peptic ulcer
Parenteral: in conjunction with anesthesia to reduce bronchial and oral secretions, to block
cardiac vagal
Verified Correct Answers
NSAIDs (actions)
Actions: Does not belong to steroid group of drugs Inhibit prostaglandin synthesis by
inhibiting an enzyme that triggers pain and inflammation.
NSAIDs (Therapeutic class)
Anti-inflammatory, Antipyretic, Analgesic
NSAIDs (examples)
ibuprofen (Motrin, Advil) indomethacin (Indocin) ketorolac (Toradol) naproxen (Naprosyn)
piroxicam (Feldene) celecoxib (Celebrex)
NSAIDs (uses)
Mild to moderate pain Rheumatoid Arthritis Osteoarthritis Dysmenorrhea
Morphine (uses)
Prototype or "model" opioid
Effective for moderately severe to severe pain Relief of severe cough (codeine) Pulmonary
Edema (morphine) Obstetric Analgesia (nubain) Pre-operative to lessen anxiety and sedate
Morphone (actions)
Actions on organs:
CNS: drowsiness, euphoria, sedation, mental clouding
Eye: pupil constriction (pinpoint pupil) (miosis)
Resp: depressed rate/depth of respirations and aggravation of asthma: suppress cough reflex
(codeine)
,GIT = ↓peristalsis in stomach & intestines; gastric, ↓pancreas/bile secretions; gallbladder
spasm (morphine) GUT = bladder contraction/spasm (urinary retention)
Skin: itching and rash
Morphone (adverse reactions)
Adverse reactions:
Physical dependence
Possible withdrawal symptoms upon discontinuing.
Opioid tolerance
Need to address the patient's pain because it takes priority over concerns about drug addiction
or physical dependence.
Symptoms of opioid withdrawal
Early signs
Yawning, perspiring, tearing, nasal drainage
Followed by:
Gooseflesh (goosebumps) • Abdominal cramps • Bone and muscle pain (rebound pain) • N/V,
diarrhea • Mydriasis (pupil dilation) • Intense craving for drug • Agitation • Elevated BP,
tachycardia • Seizures
Morphone (precautions)
Use cautiously in individuals with head injury, morbid obesity, and sleep apnea.
Precautions: Elderly: extreme confusion and hallucinations; smaller doses than younger adult
Undiagnosed abdominal pain Liver disease
Home use: Drug may cause drowsiness, dizziness • Caution with driving • Avoid alcohol •
Take med as directed • Explain how-to put-on patch
, Patient education on PCA machine:
Location of buttons • Regulation of dose and time interval • Assure machine will not deliver
dose until correct time • Pain relief should occur shortly after pushing button • Inform nurse if
pain not relieved after two doses
Naloxone (Narcan) (Use)
Complete or partial reverse of opioid effects after surgery or overdose
Naloxone (Narcan) (adverse reaction)
n/v, tachycardia, hypertension, return of postoperative pain, fever and dizziness
Hydrocodone (use)
severe pain
Hydrocodone (adverse reaction)
Sedation, sweating, headache, vertigo, lethargy, confusion, lightheadedness, nausea, vomiting
Meperidine (Demerol) opioid (use)
Acute moderate to severe pain, preoperative sedation, anesthetic adjunct
Meperidine (Demerol) opioid (adverse reaction)
Lightheadedness, constipation, dizziness, N/V, respiratory depression
Anticholinergic (glycopyrrolate) cholinergic blocking drug (uses)
Parasympathetic drug (rest and digestion)
Oral: peptic ulcer
Parenteral: in conjunction with anesthesia to reduce bronchial and oral secretions, to block
cardiac vagal
