NSG 533 Pharm Exam 2 Latest recent and
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, What would you be concerned with regarding the first patient's use of Vicodin in terms of the dose
acetaminophen? - correct ans:In elderly patients, it is recommended not to exceed >3,000mg per day of
acetaminophen.
What medication could you recommend for a diabetic patient in pain that could also be used to help
treat depression? - correct ans:SNRIs; either duloxetine or venlafaxine have been successfully used in
diabetic peripheral neuropathy.
In addition, be sure to understand which non-opiod medications you would use for a patient with
neuropathic pain. - correct ans:Gabapentin, pregabalin, transdermal lidocaine, TCAs.
If a patient has a true allergy to morphine, what opioid, if any, could you try instead? - correct ans:True
opioid allergies are rare. When a true allergy is present, an agent from another opiate classed should be
used. For example, a patient with a true opiate allergy could receive fentanyl.
Know the common side effects which opioids can cause: - correct ans:Excessive sedation (reduce dose
by 25%), constipation (senna, dulcolax, N/V (hydroxyzine/ diphenhydramine), gastroparesis, vertigo,
resp. depression, CNS irritability.
Know the WHO pain treatment algorithm: - correct ans:Mild pain (1-3) non-opioid analgesic scheduled
ATC
Moderate pain (4-6) Add opioid to scheduled non-opioid ATC
Severe pain (7-10) Switch to high dose opioid, ATC
Understand when you would use acetaminophen versus an NSAID or an NSAID instead of
acetaminopehn - correct ans:NSAIDs work best on inflammatory pain or pain mediated by
prostaglandins (RA, menstrual and post-surgical pain) and bony metastasis. NSAIDS come with increased
GIB risk and renal impairment.
APAP is a good first line for mild to moderate pain and considered the first line in low back pain and
osteoarthritic. APAP hepatotoxicity has occured in those w. liver injury or chronic drinkers.
frequently tested with comprehensive
questions and verified accurate solution
(detailed & elaborated) GRADED A+
Professional Academic Assistance Services
Services Offered
Proctored Exam Assistance
Online Class Management (Full Course Support)
Exam Preparation & Study Materials
Assignments and Coursework Support
Essays and Research Papers
Discussion Posts and Replies
CONTACT INFORMATION
WHATAPPSLINK- https://wa.me/254784769540
, What would you be concerned with regarding the first patient's use of Vicodin in terms of the dose
acetaminophen? - correct ans:In elderly patients, it is recommended not to exceed >3,000mg per day of
acetaminophen.
What medication could you recommend for a diabetic patient in pain that could also be used to help
treat depression? - correct ans:SNRIs; either duloxetine or venlafaxine have been successfully used in
diabetic peripheral neuropathy.
In addition, be sure to understand which non-opiod medications you would use for a patient with
neuropathic pain. - correct ans:Gabapentin, pregabalin, transdermal lidocaine, TCAs.
If a patient has a true allergy to morphine, what opioid, if any, could you try instead? - correct ans:True
opioid allergies are rare. When a true allergy is present, an agent from another opiate classed should be
used. For example, a patient with a true opiate allergy could receive fentanyl.
Know the common side effects which opioids can cause: - correct ans:Excessive sedation (reduce dose
by 25%), constipation (senna, dulcolax, N/V (hydroxyzine/ diphenhydramine), gastroparesis, vertigo,
resp. depression, CNS irritability.
Know the WHO pain treatment algorithm: - correct ans:Mild pain (1-3) non-opioid analgesic scheduled
ATC
Moderate pain (4-6) Add opioid to scheduled non-opioid ATC
Severe pain (7-10) Switch to high dose opioid, ATC
Understand when you would use acetaminophen versus an NSAID or an NSAID instead of
acetaminopehn - correct ans:NSAIDs work best on inflammatory pain or pain mediated by
prostaglandins (RA, menstrual and post-surgical pain) and bony metastasis. NSAIDS come with increased
GIB risk and renal impairment.
APAP is a good first line for mild to moderate pain and considered the first line in low back pain and
osteoarthritic. APAP hepatotoxicity has occured in those w. liver injury or chronic drinkers.
