BCEMP – Hematology questions n
answers rated A+
Buprenorphine for chronic SCD pain - correct answer ✔✔May decrease ED visits, increase QoL
Validated pain scales - correct answer ✔✔Visual analog scale
Wong-Baker FACES scale
COWS - correct answer ✔✔HR 0 -4
Sweating- 0-4
Restless - 0-4
Pupil size - 0-5
Bone/joint aches - 0-4
Runny nose or tearing - 0-4
GI upset last 30 min - 0-5
Tremor of outstretched hands - 0-4
Yawning- 0-4
Anxiety/irritability 0 -4
Gooseflesh 0 -5
Mild: 5-12
Mod: 13-24
Mod severe: 25-36
Severe: >36
, Parenteral opioid dose for SCD tx - correct answer ✔✔Based on TDD of home meds - may
increase by 25%
Buprenorphine SL for SCD and withdrawal - correct answer ✔✔W/ or W/o naloxone
Recommended for COW >/=8 and diagnosis of OUD
Don't give in combo with opioids
Target dose: 2-32 mg/day
Starting dose based on home oxycodone use:
<40 mg/day oxy - start 2-4 mg SL
>80 mg oxy/day - start 8 mg SL
INcrease dose by 2-4 mg q60-90 min if there is no withdrawal sx
ADE: N/V, precipitated withdrawal, QT prolongation, sedation
Wait until COWs> 13 for long acting opioids
Wells score DVT - correct answer ✔✔DVT probability:
-Active CA
-Immobility x 3 days/major surg in last 12 weeks
-Swollen calf
-Observable superficial veins
-Entire leg swollen
-Tender deep veins
-Pitting edema of swollen leg
-Immobilization of Lower extremity
-H/O DVT
All 1 pt
Score >/=2 - DVT likely
answers rated A+
Buprenorphine for chronic SCD pain - correct answer ✔✔May decrease ED visits, increase QoL
Validated pain scales - correct answer ✔✔Visual analog scale
Wong-Baker FACES scale
COWS - correct answer ✔✔HR 0 -4
Sweating- 0-4
Restless - 0-4
Pupil size - 0-5
Bone/joint aches - 0-4
Runny nose or tearing - 0-4
GI upset last 30 min - 0-5
Tremor of outstretched hands - 0-4
Yawning- 0-4
Anxiety/irritability 0 -4
Gooseflesh 0 -5
Mild: 5-12
Mod: 13-24
Mod severe: 25-36
Severe: >36
, Parenteral opioid dose for SCD tx - correct answer ✔✔Based on TDD of home meds - may
increase by 25%
Buprenorphine SL for SCD and withdrawal - correct answer ✔✔W/ or W/o naloxone
Recommended for COW >/=8 and diagnosis of OUD
Don't give in combo with opioids
Target dose: 2-32 mg/day
Starting dose based on home oxycodone use:
<40 mg/day oxy - start 2-4 mg SL
>80 mg oxy/day - start 8 mg SL
INcrease dose by 2-4 mg q60-90 min if there is no withdrawal sx
ADE: N/V, precipitated withdrawal, QT prolongation, sedation
Wait until COWs> 13 for long acting opioids
Wells score DVT - correct answer ✔✔DVT probability:
-Active CA
-Immobility x 3 days/major surg in last 12 weeks
-Swollen calf
-Observable superficial veins
-Entire leg swollen
-Tender deep veins
-Pitting edema of swollen leg
-Immobilization of Lower extremity
-H/O DVT
All 1 pt
Score >/=2 - DVT likely
