tcdha pharm midterm questions n answers 2023 passed

tcdha pharm midterm Patients with chronic pain should be managed with? - correct answer nonopioids and referred to appropriate specialists Tramadol (Ultram) - correct answer An orally administered nonopioid with weak analgesic activity naloxone (Narcan) - correct answer block the therapeutic and toxic actions of opioids pentazocine (Talwin) - correct answer The only mixed opioid available for oral use. most likely to produce dysphoric reaction Fentanyl Family - correct answer short-acting, parenterally administered agonist opioid analgesic that is used perioperatively or during general anesthesia what opoid is primarily to treat any opioid addicts (eg. Heroin addicts) - correct answer Methadone Codeine - correct answer Most commonly used opioid in dentistry and is often combined with acetaminophen (Tylenol #3) for oral administration A patient with a true allergy to codeine should NOT be given an analgesic in that group. this includes - correct answer oxycodone, hydromorphone, hydrocodone, and dihydrocodone. Treatment for overdose - correct answer naloxone what should be used to control dental pain in addicts? - correct answer NSAIDs what is an advantage of NSAIDs - correct answer not addictive, tollerance does not develop, no withdrawal syndrome. an addict will develop tolerance to the effect of opioids, except? - correct answer Miosis and constipation Use of opioids is NOT contraindicated in - correct answer hypertensive pts cause of death with overdose? - correct answer Respiratory depression Combining an opioid with a nonopioid analgesic produces an additive analgesic effect with fewer adverse reactions? - correct answer True What do aspirin, acetaminophen, ibuprofen, and codeine have in common? - correct answer analgesic opoid agonist by which all others are measured? - correct answer Morphine metabolized opioids and unchanged drug are excreted where? - correct answer urine what is the duration of action for analgesia? - correct answer 4-6 hr 3 groups of endogenous substances - correct answer enkephalins, endorphins, dynorphins opioids mechanism of action - correct answer bind to receptors in CNS and spinal cord, producing altered perception of reaction to pain where do nonopioids act? - correct answer peripheral nerve endings