PC707 Module 5 – Exam with 100% Verified and Updated Solutions

PC707 Module 5 – Exam with 100% Verified and Updated Solutions In order to prescribe scheduled drugs, you must have a? - answerDEA number What's the difference between acute and chronic pain? - answerAcute: Sudden onset Chronic: last 3-6 months or longer What type of pain is due to arthropathies, ischedmic disorders, myalgias, skin and mucosal ulcerations, superficial pain such as burns, and visceral pain such as appendicitis, pancreatitis, renal lithiasis? - answerNociceptive pain What type of pain is characterized by tissue damage, such as cut or surgical incision, and is the most common type of pain? - answerNociceptive pain What type of pain is due to neuropathies as in alcoholism and diabetes, cancer-related pain, regional pain syndromes, HIV, multiple sclerosis, phantom limb pain, post herpetic neuralgia, trigeminal neuralgia, and post-cva pain? - answerNeuropathic pain What type of pain is caused by damage to the nerve system? - answerNeuropathic pain (1) Give oral analgesics first. (2) Give analgesics at regular intervals and adjust the dosage until the patient is comfortable. (3) Prescribe analgesics according to pain intensity as evaluated by a scale of intensity of pain. (4) Dosing of pain medication should be adapted to the individual--the correct dose is one that will allow adequate pain relief. (5) Provide a detailed written plan for the patient and family. - answerFive points for pain management from the original WHO ladder: Mu receptors stimulation causes: - answerAnalgesia Respiratory Depression Euphoria Examples of Mu receptors - answer(1) Morphine (Kadian), (2) Meperidine (Demerol®), (3) Fentanyl (Sublimaze®), (4) Sufentanil (Sufenta®), and (5) Hydromorphone hydrochloride (Dilaudid®) Kappa receptors stimulation causes: - answerAnalgesia Sedation Examples of Kappa receptors - answerNubain & Stadol Delta receptor stimulation causes: - answerDysphoria Hallucinations Sigma receptor stimulation causes: - answerDysphoria Hallucinations Mu and Kappa receptors cause: - answeranalgesia Delta and Sigma receptors cause 2 things: - answerDysphoria Hallucinations The drugs that stimulate the Mu receptor all stimulate the _________ receptor to some extent - answerKappa Full agonists are opioids that bind to _____ receptors in the brain - answerMu Strong Agonists: - answerMorphine (Kadian), hydromorphone, oxymorphone, heroin, meperidine (Demerol), methadone (Dolophine), fentanyl (Sublimaze), and sufentanil (Sufenta) Moderate Agonists: - answerCodeine (Tylenol with Codeine), propoxyphene (Darvon), oxycodone, hydrocodone Why it is harder to abuse partial agonist than full agonist - answerPartial agonist binds primarily to mu opioid receptors and cause them to produce endorphins, but to a much lesser extent than full agonists. Increasing the dose of partial agonists results in much smaller increase in endorphin release if any. Partial agonists have a lower/higher affinity for the receptor sites than full agonist? - answerHigher What happens when you give someone who is addicted and using a full agonist a partial agonist? When used in the treatment of addiction do not begin the partial agonist until withdrawal from the opioid has begun. - answerCan trigger withdraw