NSG 552 EXAM 3 QUESTIONS AND
ANSWERS
What6is6the6mechanism6of6action6of6Naloxone?6-6ans--
Pure6opioid6antagonist6that6competes6and6displaces6opioids6receptor6sites.
What6medications6treat6opioid6disorder?6-6ans--Methadone;
Buprenorphine,6buprenorphine6+6Naloxone
What6medication6for6opioid6use6disorder6is6used6with6comorbid6pain?6-6ans--
Buprenorphine6+6Naloxone
Inappropriate6use6of6what6substance6may6be6due6to6uncontrolled6pain?6-6ans--Opioids
What6are6the6Naltrexone6delivery6methods?6-6ans--Tablet;
Injectable;
Implant
What6is6one6form6of6Naltrexone6delivery6method6limited6to6inpatient6use?6-6ans--Implant
What6is6the6mechanism6of6action6buprenorphine?6-6ans--
Mu6receptor6partial6agonist6for6opioid6withdrawal
What6medication6taken6too6soon6after6last6opioid6use6increases6the6chances6of6intense6
withdrawal6that6comes6on6very6quickly6(precipitated6withdrawal)?6-6ans--Buprenorphine
What6are6symptoms6of6opioid6intoxication?6-6ans--Nausea6and6vomiting;
Respiratory6depression;
Constipation;
Itching;
Mioisis6(small6pupil);
Euphoria;6and6
Sedation
What6withdrawal6symptoms6of6opioids?6-6ans--Nausea6and6vomiting;
Diarrhea;
, Dehydration;
Irritability;
Restlessness;
Yawning;
Twitching;
Increased6heart6rate6and6blood6pressure;
Chills;
Increased6temperature;
Rhinorrhea;
Lacrimation;
Dilated6pupils
What6medication6is6given6for6opioid6intoxication6during6cardiac6or6respiratory6depression6
is6a6concern?6-6ans--Naloxone
What6are6symptoms6of6cocaine6intoxication?6-6ans--Dilated6pupils;
Headache;
Tremor;
Hyper-reflexia;
Twitching;
MI;
Nausea6and6vomiting;
Incontinence/ARF;
Rhabdomyolysis
What6is6the6treatment6for6cocaine6intoxication?6-6ans--Benzodiazepines;
Antipsychotics;
Management6of6medical6problems6that6include6hypertension,6stroke,6cardiac6arrhythmia
s,6hyperthermia,6and6seizures
What6would6not6be6the6treatment6for6chest6pain6and6MI6from6cocaine?6-6ans--
Beta6blockers6are6to6be6avoided6due6to6unopposed6a-adrenergic6stimulation.
What6are6the6symptoms6for6alcohol6intoxication?6-6ans--Blood6levels;
Decreased6reaction6time;
Muscle6incoordination;
Ataxia;
Dysarthria;
Respiratory6failure;
Coma
What6are6the6treatments6for6severe6alcohol6intoxication?6-6ans--
Cardiopulmonary6function6maintenance;
Thiamine;
Haloperidol6PRN6for6agitation
ANSWERS
What6is6the6mechanism6of6action6of6Naloxone?6-6ans--
Pure6opioid6antagonist6that6competes6and6displaces6opioids6receptor6sites.
What6medications6treat6opioid6disorder?6-6ans--Methadone;
Buprenorphine,6buprenorphine6+6Naloxone
What6medication6for6opioid6use6disorder6is6used6with6comorbid6pain?6-6ans--
Buprenorphine6+6Naloxone
Inappropriate6use6of6what6substance6may6be6due6to6uncontrolled6pain?6-6ans--Opioids
What6are6the6Naltrexone6delivery6methods?6-6ans--Tablet;
Injectable;
Implant
What6is6one6form6of6Naltrexone6delivery6method6limited6to6inpatient6use?6-6ans--Implant
What6is6the6mechanism6of6action6buprenorphine?6-6ans--
Mu6receptor6partial6agonist6for6opioid6withdrawal
What6medication6taken6too6soon6after6last6opioid6use6increases6the6chances6of6intense6
withdrawal6that6comes6on6very6quickly6(precipitated6withdrawal)?6-6ans--Buprenorphine
What6are6symptoms6of6opioid6intoxication?6-6ans--Nausea6and6vomiting;
Respiratory6depression;
Constipation;
Itching;
Mioisis6(small6pupil);
Euphoria;6and6
Sedation
What6withdrawal6symptoms6of6opioids?6-6ans--Nausea6and6vomiting;
Diarrhea;
, Dehydration;
Irritability;
Restlessness;
Yawning;
Twitching;
Increased6heart6rate6and6blood6pressure;
Chills;
Increased6temperature;
Rhinorrhea;
Lacrimation;
Dilated6pupils
What6medication6is6given6for6opioid6intoxication6during6cardiac6or6respiratory6depression6
is6a6concern?6-6ans--Naloxone
What6are6symptoms6of6cocaine6intoxication?6-6ans--Dilated6pupils;
Headache;
Tremor;
Hyper-reflexia;
Twitching;
MI;
Nausea6and6vomiting;
Incontinence/ARF;
Rhabdomyolysis
What6is6the6treatment6for6cocaine6intoxication?6-6ans--Benzodiazepines;
Antipsychotics;
Management6of6medical6problems6that6include6hypertension,6stroke,6cardiac6arrhythmia
s,6hyperthermia,6and6seizures
What6would6not6be6the6treatment6for6chest6pain6and6MI6from6cocaine?6-6ans--
Beta6blockers6are6to6be6avoided6due6to6unopposed6a-adrenergic6stimulation.
What6are6the6symptoms6for6alcohol6intoxication?6-6ans--Blood6levels;
Decreased6reaction6time;
Muscle6incoordination;
Ataxia;
Dysarthria;
Respiratory6failure;
Coma
What6are6the6treatments6for6severe6alcohol6intoxication?6-6ans--
Cardiopulmonary6function6maintenance;
Thiamine;
Haloperidol6PRN6for6agitation