NURS 5433 FAMILY II PAIN MANAGEMENT EXAM QUESTIONS AND ANSWERS
100% VERIFIED LATEST UPDATE
Lidocaine is the most widely used local anesthetic and comes in both topical and
injectable applications, what extends the life or effects of lidocaine?
Epinephrine
- decreases local blood flow (vasoconstriction)
- delays systemic absorption of the anesthetic
- prolongs anesthesia
- reduces the risk of toxicity
A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing that
occurs intermittently throughout the year and is often accompanied by a rope like eye
discharge and clear nasal discharge. This is most consistent with:
a. Viral conjunctivitis
b. Allergic conjunctivitis
c. bacterial conjunctivitis - ANSWER b. Allergic conjunctivitis
What three properties determine the anesthetics ability to penetrate the axon
membrane to be affective?
- Molecular Size
- Lipid Solubility
- Degree of ionization at tissue pH
What are the application guidelines for Lidocaine?
-smallest amount needed
-avoid application to large areas
, -avoid application to broken or irritated skin
-avoid strenuous exercise, wrapping the site, and heating the site-all of which
accelerate absorption by increasing skin temperature
What are other topical local anesthetics?
Tetracaine
Cocaine
What are the three major receptor sites of Opioids?
- Mu: activation incites, analgesia, respiratory depression, euphoria, sedation and
PHYSICAL DEP
Opioid act primarily by activating Mu Receptors
- Kappa: activation incites, analgesia and sedation
*may underlie PSYCHOTOMIMETIC effects with certain opioids
- Delta: generally opioids do not interact with these receptors
Which receptors do Pure Opioid Agonists such as Morphine, a strong opioid agonist or
Codeine, a moderate to strong opioid agonist activate?
Mu and Kappa Receptors
What are some Agonist-Antagonist Opioids that, when given alone, produce analgesia
but, when given with agonists, can antagonize analgesia produced by the pure agonist?
- Pentazocine
- Nalbuphine
- Butorphanol
- Buprenorphine
100% VERIFIED LATEST UPDATE
Lidocaine is the most widely used local anesthetic and comes in both topical and
injectable applications, what extends the life or effects of lidocaine?
Epinephrine
- decreases local blood flow (vasoconstriction)
- delays systemic absorption of the anesthetic
- prolongs anesthesia
- reduces the risk of toxicity
A 19 year old presents with a complaint of bilaterally itchy, red eyes with tearing that
occurs intermittently throughout the year and is often accompanied by a rope like eye
discharge and clear nasal discharge. This is most consistent with:
a. Viral conjunctivitis
b. Allergic conjunctivitis
c. bacterial conjunctivitis - ANSWER b. Allergic conjunctivitis
What three properties determine the anesthetics ability to penetrate the axon
membrane to be affective?
- Molecular Size
- Lipid Solubility
- Degree of ionization at tissue pH
What are the application guidelines for Lidocaine?
-smallest amount needed
-avoid application to large areas
, -avoid application to broken or irritated skin
-avoid strenuous exercise, wrapping the site, and heating the site-all of which
accelerate absorption by increasing skin temperature
What are other topical local anesthetics?
Tetracaine
Cocaine
What are the three major receptor sites of Opioids?
- Mu: activation incites, analgesia, respiratory depression, euphoria, sedation and
PHYSICAL DEP
Opioid act primarily by activating Mu Receptors
- Kappa: activation incites, analgesia and sedation
*may underlie PSYCHOTOMIMETIC effects with certain opioids
- Delta: generally opioids do not interact with these receptors
Which receptors do Pure Opioid Agonists such as Morphine, a strong opioid agonist or
Codeine, a moderate to strong opioid agonist activate?
Mu and Kappa Receptors
What are some Agonist-Antagonist Opioids that, when given alone, produce analgesia
but, when given with agonists, can antagonize analgesia produced by the pure agonist?
- Pentazocine
- Nalbuphine
- Butorphanol
- Buprenorphine
