Exam Three Study Material - Complete Verified Answer Set

Exam Three Study Material - Complete Verified Answer Set Narcan: Drug Class? - answer - Potent Opioid antagonist Narcan: Indication - answer - Opiate overdose What med should be routinely prescribed for all patients with an opioid use disorder? - answer - Narcan What type of half life does Narcan have? - answer - A short half-life Methadone: Other name for Methadone? - answer - Dolophine Methadone: Drug Class - answer - Long acting full opioid receptor agonist at mu receptor. How many times can you use Methadone daily? - answer - 1 time Where can you usually get Methadone? - answer - Federally licensed substance abuse treatment programs Methadone: What is the precaution to taking this med? - answer - QTC prolongation cardiac abnormalities What are the other names for Buprenorphine? - answer - Buprenex Soblocade What is the name for Buprenorphine/Naloxone Combo? - answer - Suboxone What is the drug class of Buprenorphine? - answer - Partial Opioid receptor agonist/ opioid antagonist How does Buprenorphine work? - answer - Decreases cravings What is the precaution with buprenorphine / Suboxone? - answer - Can precipitate withdrawal if used too soon after a full opioid agonist. Why can buprenorphine/suboxone precipitate withdrawal if used too soon after a full opioid agonist? - answer - It will displace any residual opioids from mu receptors. What preparation of suboxone is safer? - answer - Sublingual What do you need to prescribe suboxone in outpatient settings? - answer - A Waiver What can be used to manage pain in a patient with opioid use disorder and comorbid pain? - answer - Suboxone What forms is suboxone available? - answer - Buccal film Sublingual film Sublingual tab What forms is buprenorphine available? - answer - Sublingual tab Subdermal implant SQ injection Naltrexone: Drug Class - answer - Competitive opioid receptor antagonist Naltrexone: When can it precipitate withdrawal? - answer - If used within 7 days of heroin use In what forms is Naltrexone available? - answer - Orally or monthly depot injection. Naltrexone: Indications - answer - Treatment of choice for highly motivated patients for ETOH and Opioid use disorders. Naltrexone: Precaution - answer - Risk for LFT elevation What is the available po form on Naltrexone? - answer - Revia What is the available IM form on Naltrexone? - answer - Vivitrol What can inappropriate use of opioids indicate? - answer - A patient's pain is uncontrolled What are symptoms of Opioid Intoxication? - answer - Miosis Hypotension Bradycardia Low RR Unconsciousness What is miosis? - answer - constriction of the pupil What is the treatment for opioid intoxication? - answer - Naloxone (Narcan) What are symptoms of opioid withdrawal? - answer - Anxiety Lacrimation Muscle ache abdominal cramps diarrhea seizures What is the treatment for opioid withdrawal? - answer - Buprenorphine/ Naloxone (Suboxone) Clonidine Bentyl Buprenorphine: When administered for detoxification and not maintenance, what is it more effective for? - answer - Suppressing and controlling symptoms of withdrawal as the taper nears completion when compared with methadone. What are the symptoms of cocaine intoxication? - answer - Auditory hallucinations Agitation Violent Behavior Hypertension Tachycardia Muscle Twitching What is the treatment for cocaine intoxication? - answer - Lorazepam How does antabuse work in cocaine use disorder? - answer - It increases the synaptic dopamine in the brain reward circuit and acts as an agonist treatment in the setting of cocaine use disorder. What medications are used for cocaine-induced chest pain and myocardial infarction? - answer - Nitrogylcerin Aspirin What medications should not be used for cocaine-induced chest pain and myocardial infarction? - answer - Metroprolol What are the contraindications of beta blockers? - answer - Patients with cocaine induced chest pain Why are betablockers contraindicated for cocaine induced chest pain? - ans