NSG552 Exam 3 UPDATED ACTUAL Questions and CORRECT Answers
1. naloxone MOA: Pure opioid antagonist that competes and displaces opioids at opioid
receptor sites.
2. methadone, Treatments for opioid use disorder.
buprenorphine,
buprenor-
phine+naloxone
3. buprenor- Treatment for opioid use disorder with comorbid pain.
phine+naloxone
4. opioids Inappropriate use of what substance may be due to uncontrolled pain?
5. tablet, injectable, Naltrexone delivery methods.
implant
6. implant Form of naltrexone limited to inpatient use.
7. buprenorphine Mu receptor partial agonist for opioid withdrawal.
8. buprenorphine Taking this medication too soon after last opioid use increases the chances of
intense withdrawal that comes on very quickly (precipitated withdrawal).
9. opioid intoxica- Symptoms include nausea and vomiting, respiratory depression, constipation,
tion itching, mioisis (small pupil). Patient will experience euphoria and sedation.
10. opioid withdraw- Symptoms include N/V/D and dehydration, irritability, restlessness, yawning, and
al twitching, increased HR/BP, chills, increased temperature, rhinorrhea, lacrimation,
dilated pupils.
11. naloxone Treatment for opioid intoxication during which cardiac or respiratory depression
is a concern.
12.
, cocaine intoxica- Symptoms include dilated pupils, HA, tremor, hyper-reflexia, twitching, seizures,
tion or coma, increased HR/BP, arrhythmias, and MI, N/V, incontinence/ARF, or rhab-
domyolysis
13. cocaine intoxica- Treatment includes BZD, antipsychotics, and management of medical problems
tion including HTN, stroke, cardiac arrhythmias, hyperthermia, and seizures.
14. cocaine The use of beta blockers for treatment of chest pain and MI during this intoxication
is to be avoided due to unopposed a adrenergic stimulation.
15. alcohol intoxica- Signs vary with blood levels, from decreased reaction time, muscle incoordination,
tion ataxia, dysarthria, to respiratory failure and coma.
16. severe alcohol in- Treatment includes cardiopulmonary function maintenance, thiamine, and
toxication haloperidol PRN agitation.
17. thiamine Given IM/IV for 3 days to prevent Wernicke's encephalopathy, along with IV fluids
and a banana bag.
18. benzodiazepines Class of drugs to avoid for acute alcohol intoxication.
19. uncomplicated Treatment includes BZD in either symptom triggered or fixed dose; diazepam and
alcohol chlordiazepoxide have a longer half life, and oxazepam and lorazepam are suitable
withdrawal for patients with hepatic dysfunction.
20. diazepam and BZDs with a long half-life used to treat AUD.
chlordiazepoxide
21. oxazepam and lo- BZDs with moderate half-life used in AUD patients with liver disease.
razepam
22. alcohol with- Treatment includes diazepam IV or lorazepam IV/IM, thiamine IV/IM, and address-
drawal seizures ing electrolyte imbalances.
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1. naloxone MOA: Pure opioid antagonist that competes and displaces opioids at opioid
receptor sites.
2. methadone, Treatments for opioid use disorder.
buprenorphine,
buprenor-
phine+naloxone
3. buprenor- Treatment for opioid use disorder with comorbid pain.
phine+naloxone
4. opioids Inappropriate use of what substance may be due to uncontrolled pain?
5. tablet, injectable, Naltrexone delivery methods.
implant
6. implant Form of naltrexone limited to inpatient use.
7. buprenorphine Mu receptor partial agonist for opioid withdrawal.
8. buprenorphine Taking this medication too soon after last opioid use increases the chances of
intense withdrawal that comes on very quickly (precipitated withdrawal).
9. opioid intoxica- Symptoms include nausea and vomiting, respiratory depression, constipation,
tion itching, mioisis (small pupil). Patient will experience euphoria and sedation.
10. opioid withdraw- Symptoms include N/V/D and dehydration, irritability, restlessness, yawning, and
al twitching, increased HR/BP, chills, increased temperature, rhinorrhea, lacrimation,
dilated pupils.
11. naloxone Treatment for opioid intoxication during which cardiac or respiratory depression
is a concern.
12.
, cocaine intoxica- Symptoms include dilated pupils, HA, tremor, hyper-reflexia, twitching, seizures,
tion or coma, increased HR/BP, arrhythmias, and MI, N/V, incontinence/ARF, or rhab-
domyolysis
13. cocaine intoxica- Treatment includes BZD, antipsychotics, and management of medical problems
tion including HTN, stroke, cardiac arrhythmias, hyperthermia, and seizures.
14. cocaine The use of beta blockers for treatment of chest pain and MI during this intoxication
is to be avoided due to unopposed a adrenergic stimulation.
15. alcohol intoxica- Signs vary with blood levels, from decreased reaction time, muscle incoordination,
tion ataxia, dysarthria, to respiratory failure and coma.
16. severe alcohol in- Treatment includes cardiopulmonary function maintenance, thiamine, and
toxication haloperidol PRN agitation.
17. thiamine Given IM/IV for 3 days to prevent Wernicke's encephalopathy, along with IV fluids
and a banana bag.
18. benzodiazepines Class of drugs to avoid for acute alcohol intoxication.
19. uncomplicated Treatment includes BZD in either symptom triggered or fixed dose; diazepam and
alcohol chlordiazepoxide have a longer half life, and oxazepam and lorazepam are suitable
withdrawal for patients with hepatic dysfunction.
20. diazepam and BZDs with a long half-life used to treat AUD.
chlordiazepoxide
21. oxazepam and lo- BZDs with moderate half-life used in AUD patients with liver disease.
razepam
22. alcohol with- Treatment includes diazepam IV or lorazepam IV/IM, thiamine IV/IM, and address-
drawal seizures ing electrolyte imbalances.
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