NU 150 - Galen - Pharm Test 3 with precise ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
detailed answers ||\\//||
NSAIDs (actions) - correct answer✔✔Actions: Does not belong to steroid group of drugs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Inhibit prostaglandin synthesis by inhibiting an enzyme that triggers pain and inflammation.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
NSAIDs (Therapeutic class) - correct answer✔✔Anti-inflammatory, Antipyretic, Analgesic
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
NSAIDs (examples) - correct answer✔✔ibuprofen (Motrin, Advil) indomethacin (Indocin)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ketorolac (Toradol) naproxen (Naprosyn) piroxicam (Feldene) celecoxib (Celebrex)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
NSAIDs (uses) - correct answer✔✔Mild to moderate pain Rheumatoid Arthritis Osteoarthritis
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Dysmenorrhea
Morphine (uses) - correct answer✔✔Prototype or "model" opioid ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Effective for moderately severe to severe pain Relief of severe cough (codeine) Pulmonary
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Edema (morphine) Obstetric Analgesia (nubain) Pre-operative to lessen anxiety and sedate
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Morphone (actions) - correct answer✔✔Actions on organs: ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
CNS: drowsiness, euphoria, sedation, mental clouding
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Eye: pupil constriction (pinpoint pupil) (miosis)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Resp: depressed rate/depth of respirations and aggravation of asthma: suppress cough reflex
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(codeine)
GIT = ↓peristalsis in stomach & intestines; gastric, ↓pancreas/bile secretions; gallbladder
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
spasm (morphine) GUT = bladder contraction/spasm (urinary retention)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Skin: itching and rash
||\\//|| ||\\//|| ||\\//||
,Morphone (adverse reactions) - correct answer✔✔Adverse reactions: ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Physical dependence ||\\//||
Possible withdrawal symptoms upon discontinuing. ||\\//|| ||\\//|| ||\\//|| ||\\//||
Opioid tolerance ||\\//||
Need to address the patient's pain because it takes priority over concerns about drug
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
addiction or physical dependence. ||\\//|| ||\\//|| ||\\//||
Symptoms of opioid withdrawal - correct answer✔✔Early signs ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Yawning, perspiring, tearing, nasal drainage ||\\//|| ||\\//|| ||\\//|| ||\\//||
Followed by: ||\\//||
Gooseflesh (goosebumps) • Abdominal cramps • Bone and muscle pain (rebound pain) • ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
N/V, diarrhea • Mydriasis (pupil dilation) • Intense craving for drug • Agitation • Elevated BP,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
tachycardia • Seizures
||\\//|| ||\\//|| ||\\//||
Morphone (precautions) - correct answer✔✔Use cautiously in individuals with head injury, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
morbid obesity, and sleep apnea. ||\\//|| ||\\//|| ||\\//|| ||\\//||
Precautions: Elderly: extreme confusion and hallucinations; smaller doses than younger adult ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Undiagnosed abdominal pain Liver disease ||\\//|| ||\\//|| ||\\//|| ||\\//||
Home use: Drug may cause drowsiness, dizziness • Caution with driving • Avoid alcohol •
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Take med as directed • Explain how-to put-on patch
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Patient education on PCA machine: - correct answer✔✔Location of buttons • Regulation of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
dose and time interval • Assure machine will not deliver dose until correct time • Pain relief
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
should occur shortly after pushing button • Inform nurse if pain not relieved after two doses
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Naloxone (Narcan) (Use) - correct answer✔✔Complete or partial reverse of opioid effects
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
after surgery or overdose
||\\//|| ||\\//|| ||\\//||
, Naloxone (Narcan) (adverse reaction) - correct answer✔✔n/v, tachycardia, hypertension,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
return of postoperative pain, fever and dizziness
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Hydrocodone (use) - correct answer✔✔severe pain ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Hydrocodone (adverse reaction) - correct answer✔✔Sedation, sweating, headache, vertigo, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
lethargy, confusion, lightheadedness, nausea, vomiting ||\\//|| ||\\//|| ||\\//|| ||\\//||
Meperidine (Demerol) opioid (use) - correct answer✔✔Acute moderate to severe pain, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
preoperative sedation, anesthetic adjunct ||\\//|| ||\\//|| ||\\//||
Meperidine (Demerol) opioid (adverse reaction) - correct answer✔✔Lightheadedness, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
constipation, dizziness, N/V, respiratory depression ||\\//|| ||\\//|| ||\\//|| ||\\//||
Anticholinergic (glycopyrrolate) cholinergic blocking drug (uses) - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Parasympathetic drug (rest and digestion) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Oral: peptic ulcer ||\\//|| ||\\//||
Parenteral: in conjunction with anesthesia to reduce bronchial and oral secretions, to block ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
cardiac vagal ||\\//||
DRY "Can't see, pee, sh*t, spit" Hot as a Hare Dry as a Bone Blind as a Bat Red as a Beet
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Mad as a Hatter ||\\//|| ||\\//|| ||\\//||
CV: increase heart rate Resp: dry mucus membranes; bronchial dilation
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
GIT: decrease GI motility, secretions and salivation
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
GUT-decrease bladder contraction, urinary retention ||\\//|| ||\\//|| ||\\//|| ||\\//||
Eye: pupil dilation, increase in intraocular pressure
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Anticholinergic (glycopyrrolate) cholinergic blocking drug (indications) - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Indications:
↓ muscle rigidity and diminishes tremors (Parkinson's)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
detailed answers ||\\//||
NSAIDs (actions) - correct answer✔✔Actions: Does not belong to steroid group of drugs
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Inhibit prostaglandin synthesis by inhibiting an enzyme that triggers pain and inflammation.
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
NSAIDs (Therapeutic class) - correct answer✔✔Anti-inflammatory, Antipyretic, Analgesic
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
NSAIDs (examples) - correct answer✔✔ibuprofen (Motrin, Advil) indomethacin (Indocin)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
ketorolac (Toradol) naproxen (Naprosyn) piroxicam (Feldene) celecoxib (Celebrex)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
NSAIDs (uses) - correct answer✔✔Mild to moderate pain Rheumatoid Arthritis Osteoarthritis
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Dysmenorrhea
Morphine (uses) - correct answer✔✔Prototype or "model" opioid ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Effective for moderately severe to severe pain Relief of severe cough (codeine) Pulmonary
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Edema (morphine) Obstetric Analgesia (nubain) Pre-operative to lessen anxiety and sedate
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Morphone (actions) - correct answer✔✔Actions on organs: ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
CNS: drowsiness, euphoria, sedation, mental clouding
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Eye: pupil constriction (pinpoint pupil) (miosis)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Resp: depressed rate/depth of respirations and aggravation of asthma: suppress cough reflex
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
(codeine)
GIT = ↓peristalsis in stomach & intestines; gastric, ↓pancreas/bile secretions; gallbladder
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
spasm (morphine) GUT = bladder contraction/spasm (urinary retention)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Skin: itching and rash
||\\//|| ||\\//|| ||\\//||
,Morphone (adverse reactions) - correct answer✔✔Adverse reactions: ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Physical dependence ||\\//||
Possible withdrawal symptoms upon discontinuing. ||\\//|| ||\\//|| ||\\//|| ||\\//||
Opioid tolerance ||\\//||
Need to address the patient's pain because it takes priority over concerns about drug
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
addiction or physical dependence. ||\\//|| ||\\//|| ||\\//||
Symptoms of opioid withdrawal - correct answer✔✔Early signs ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Yawning, perspiring, tearing, nasal drainage ||\\//|| ||\\//|| ||\\//|| ||\\//||
Followed by: ||\\//||
Gooseflesh (goosebumps) • Abdominal cramps • Bone and muscle pain (rebound pain) • ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
N/V, diarrhea • Mydriasis (pupil dilation) • Intense craving for drug • Agitation • Elevated BP,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
tachycardia • Seizures
||\\//|| ||\\//|| ||\\//||
Morphone (precautions) - correct answer✔✔Use cautiously in individuals with head injury, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
morbid obesity, and sleep apnea. ||\\//|| ||\\//|| ||\\//|| ||\\//||
Precautions: Elderly: extreme confusion and hallucinations; smaller doses than younger adult ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Undiagnosed abdominal pain Liver disease ||\\//|| ||\\//|| ||\\//|| ||\\//||
Home use: Drug may cause drowsiness, dizziness • Caution with driving • Avoid alcohol •
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Take med as directed • Explain how-to put-on patch
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Patient education on PCA machine: - correct answer✔✔Location of buttons • Regulation of
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
dose and time interval • Assure machine will not deliver dose until correct time • Pain relief
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
should occur shortly after pushing button • Inform nurse if pain not relieved after two doses
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Naloxone (Narcan) (Use) - correct answer✔✔Complete or partial reverse of opioid effects
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
after surgery or overdose
||\\//|| ||\\//|| ||\\//||
, Naloxone (Narcan) (adverse reaction) - correct answer✔✔n/v, tachycardia, hypertension,
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
return of postoperative pain, fever and dizziness
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Hydrocodone (use) - correct answer✔✔severe pain ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Hydrocodone (adverse reaction) - correct answer✔✔Sedation, sweating, headache, vertigo, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
lethargy, confusion, lightheadedness, nausea, vomiting ||\\//|| ||\\//|| ||\\//|| ||\\//||
Meperidine (Demerol) opioid (use) - correct answer✔✔Acute moderate to severe pain, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
preoperative sedation, anesthetic adjunct ||\\//|| ||\\//|| ||\\//||
Meperidine (Demerol) opioid (adverse reaction) - correct answer✔✔Lightheadedness, ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
constipation, dizziness, N/V, respiratory depression ||\\//|| ||\\//|| ||\\//|| ||\\//||
Anticholinergic (glycopyrrolate) cholinergic blocking drug (uses) - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Parasympathetic drug (rest and digestion) ||\\//|| ||\\//|| ||\\//|| ||\\//||
Oral: peptic ulcer ||\\//|| ||\\//||
Parenteral: in conjunction with anesthesia to reduce bronchial and oral secretions, to block ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
cardiac vagal ||\\//||
DRY "Can't see, pee, sh*t, spit" Hot as a Hare Dry as a Bone Blind as a Bat Red as a Beet
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Mad as a Hatter ||\\//|| ||\\//|| ||\\//||
CV: increase heart rate Resp: dry mucus membranes; bronchial dilation
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
GIT: decrease GI motility, secretions and salivation
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
GUT-decrease bladder contraction, urinary retention ||\\//|| ||\\//|| ||\\//|| ||\\//||
Eye: pupil dilation, increase in intraocular pressure
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Anticholinergic (glycopyrrolate) cholinergic blocking drug (indications) - correct ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
answer✔✔Indications:
↓ muscle rigidity and diminishes tremors (Parkinson's)
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
