Nagelhout Test 3 Review Questions with verified Answers Already Passed

The antishivering effect of meperidine is believed to be mediated via stimulation of which receptor? - ANSWER-Kappa Which of the following would be preferred in an asthmatic patient requiring analgesics? - ANSWER-Fentanyl All of the following drugs may be used to relieve the increase in biliary pressure caused by opiate drugs EXCEPT: - ANSWER-Succinylcholine Atropine, Nitroglycerine, Glucagon, Narcan are What you WOULD give. The primary cardiac effect of opiates used in anesthesia is? - ANSWER-Bradycardia A patient who is allergic to hydromorphone (Dilaudid) may be given which of the following drugs? - ANSWER-Fentanyl Different Class Which of the following is NOT an endogenous opioid substance? - ANSWER-Serotonin These ARE endogenous opioids Enkephalin Beta Endorphin Dynorphin Endomorphin All of the following are endogenous opiate peptide analgesics EXCEPT: - ANSWER-Substance B A patient who underwent abdominal surgery is receiving an epidural fentanyl infusion for postoperative pain. Which of the following is LEAST likely? - ANSWER-Hypotension Flumazenil: - ANSWER-Reverses Versed and other Benzos When administering narcotics during anesthesia, you should: - ANSWER-Front Load Dysphoria is produced by which of the following opiate receptors? - ANSWER-Kappa Which of the following effects is least likely to exhibit tolerance? - ANSWER-Miosis A patient with significant liver disease can be expected to have a ______ effect when given narcotics? - ANSWER-Exaggerated Meperidine: - ANSWER-Inhibits Shivering Narcotics are primarily metabolized: - ANSWER-Liver A patient who has developed tolerance due to chronic use of morphine: - ANSWER-Has Tolerance to all opiods Analgesia, respiratory depression and physical dependence are produced by which opiate receptor? - ANSWER-Mu Naloxone is an antagonist at? - ANSWER-All Opiate Receptors Which of the following non narcotic analgesics does not have anti-inflammatory effects? - ANSWER-Tylenol The non narcotic analgesics primarily exert their action by inhibition of which of the following enzymes? - ANSWER-COX1 and COX2 Opiate agonists depress respirations secondary to their effect on: - ANSWER-Depresses respiratory center in the brain Opiate agonists produce: - ANSWER-Analgesia