TCDHA Pharm Midterm Exam 2024 Questions and Answers 100% Correct.

Patients with chronic pain should be managed with? - ANSWER-nonopioids and referred to appropriate specialists Tramadol (Ultram) - ANSWER-An orally administered nonopioid with weak analgesic activity naloxone (Narcan) - ANSWER-block the therapeutic and toxic actions of opioids pentazocine (Talwin) - ANSWER-The only mixed opioid available for oral use. most likely to produce dysphoric reaction Fentanyl Family - 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) - ANSWER-Methadone Codeine - 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 - ANSWER-oxycodone, hydromorphone, hydrocodone, and dihydrocodone. Treatment for overdose - ANSWER-naloxone what should be used to control dental pain in addicts? - ANSWER-NSAIDs what is an advantage of NSAIDs - ANSWER-not addictive, tollerance does not develop, no withdrawal syndrome. an addict will develop tolerance to the effect of opioids, except? - ANSWER-Miosis and constipation Use of opioids is NOT contraindicated in - ANSWER-hypertensive pts cause of death with overdose? - ANSWER-Respiratory depression Combining an opioid with a nonopioid analgesic produces an additive analgesic effect with fewer adverse reactions? - ANSWER-True What do aspirin, acetaminophen, ibuprofen, and codeine have in common? - ANSWER-analgesic opoid agonist by which all others are measured? - ANSWER-Morphine metabolized opioids and unchanged drug are excreted where? - ANSWER-urine what is the duration of action for analgesia? - ANSWER-4-6 hr 3 groups of endogenous substances - ANSWER-enkephalins, endorphins, dynorphins opioids