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

PC707 Module 5 –Exam with 100% Verified and Updated Solutions Where do 50% of the medications from abuse come from? - answerPrimary care providers What happens when the historic response to a drug is no longer achieved at the same dosage level and increases are necessary? - answerTolerance What is a state where the body functions normally only with the drug and withdraw happens when the drug is removed? - answerDependence What is when you use something because it becomes associated with alleviating mental duress, such as anxiety, depression, or other associated conditions? - answerPsychological dependence What results from a fear of being in pain so the person takes pain medication to prevent it from happening? - answerPseudo-addiction What is a primary product of a neurobiologic relapsing disease that is characterized by compulsive drug seeking or use despite harmful consequences to themselves or others? - answeraddiction What is the most widespread medical problem? - answerPain 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 What type of treatment does neuropathic pain need? - answerMultimodal therapies (antidepressants and meds that act on neurotransmitters) What type of pain is due to chronic or recurrent headaches, vasculitis? - answerMixed or underdetermined etiology What is the first step to prescribing opioids safely? - answerpatient history What histories are included on a patient who could potentially receive opioid treatment? - answer(1) social history (2) drug abuse history (3) depression screening (4) alcohol use (5) urine drug test (6) copy of other medical records (7) opioid drug use assessment What would you have a patient sign if they plan on using opioids? - answerInformed consent/patient-provider agreement If a person has a history of opioid usage/abuse, would that mean that you cannot prescribe them opioids for pain? - answerNo If a person has a history of opioid usage/abuse, what would you do to help treat their pain? - answerRefer to pain management specialist What needs to be included in documentation for referral to pain management specialist? - answerWhy the person is being referred What are the risks to prescribing opioids? - answer(1) respiratory depression (2) developing tolerance or dependence (3) overdose (4) drug interactions (5) risk of neonatal withdraw syndrome (6) inadvertent child use (7) abuse or misuse by patient or other family member What is the purpose of the patient-provider agreement when prescribing opioids? - answer(1) risks (2) responsibilities (3) expected behaviors and consequences for misuse What does the patient-provider agreement do for the prescriber? - answerGives them an exit strategy What can mild pain managed with? - answerNonopiods What is the first route of pain medication? - answerPO Should you prescribe 2 long acting opioids together? - answerNo What are red flag behaviors? - answer(1) ask for dose adjustments (2) ongoing delays for planned surgery (3) providers who make risk assessment without physical assessment (4) history of requesting early refills (5) patient who risk nonopioid treatment plan (6) will not allow urine drug screen (7) when patients are not safeguarding medications (8) when patients have frequent after hour emergency room visits If a patient has anxiety but also needs an opioid prescription for pain, what other drug would you want to make sure they are not taking? - answerBenzodiazepines