Analgesics: Part 3

Question 1

Strong opioid agonists

Answer 1

Fentanyl 
Meperidine (Demerol) 
Methadone
Heroin
Hydromorphone (Dilaudid)

Question 2

Fentanyl methods of administration

Answer 2

Parenteral
Transdermal
Transmucosal

Question 3

Methadone

Answer 3

Used for addiction and alcohol withdrawal, eases withdrawal symptoms but people can become addicted to it

Question 4

Heroin is the most ______ and ______

Answer 4

Potent

Addictive

Question 5

Moderate to strong opioid agonists

Answer 5

Codeine
Oxycodone
Hydrocodone
Propoxyphene
Tramadol

Question 6

Oxycodone trade names

Answer 6

Oxycontin

Percocet

Question 7

Hydrocodone trade names

Answer 7

Lortab, Norco

Question 8

Propoxyphene trade names

Answer 8

Darvon, Darvocet

Question 9

Tramadol trade names

Answer 9

Ultram

Question 10

Codeine

Answer 10

Adverse effects are high, moderate pain reliever, used more as cough suppressant

Question 11

Is Oxycodone or Hydrocodone stronger?

Answer 11

Oxycodone

Question 12

Benefits of agonist-antagonist opioids

Answer 12

Low abuse potential

Less respiratory depression

Question 13

Cona of agonist-antagonist opioids

Answer 13

Less powerful analgesic effects

Will cause withdrawal

Question 14

Administration of opioids in the clinical setting should include..

Answer 14

Assessment of pain
Dosage determination
Routine schedule
Avoiding withdrawal

Question 15

Are narcotics specifically dosed for the patient?

Answer 15

No

Question 16

Development of physical addiction to opioids is extremely….

Answer 16

Rare

Question 17

How to administer opioids with discretion

Answer 17

Lowest effective doses
Shortest intervals possible
Withdrawal of opioids,,, nonopijoid analgesics

Question 18

Patient controlled analgesia can…

Answer 18

Provide comfort while minimizing sedation

Question 19

Patient controlled analgesia allows for…

Answer 19

Steady levels of opioid in system, rapid pain relief

Question 20

Opioid antagonists….

Answer 20

BLOCK the effects of opioid agonists

Question 21

Naloxone (Evzio)

Answer 21

First naloxone auto-injector
Outpatient use antagonist
Pro-active prescription for chronic opioid

Question 22

Glucocorticoids are used for..

Answer 22

Autoimmune disorders
Inflammatory conditions
Organ transplant patients
Cancer therapy

Question 23

Glucocorticoids: autoimmune disorders

Answer 23

Rheumatoid arthritis
Lupus
Ulcerative colitis

Question 24

Glucocorticoids: inflammatory conditions

Answer 24

Asthma

Question 25

Glucocorticoids are by far the best....

Answer 25

Anti-inflammatory drugs we have

Question 26

Glucocorticoids go after

Answer 26

Prostaglandins, interleukins, etc.

Question 27

Glucocorticoids are also great at

Answer 27

Immune suppression

Question 28

Adverse effects from glucocorticoids

Answer 28

``` Increased blood glucose Abnormal fat deposits Adrenal insufficiency Osteoporosis Infection Glucose intolerance Cataracts / glaucoma ```

Question 29

Abnormal fat deposits: glucocorticoids

Answer 29

Moon face, buffalo hump

Question 30

When we give glucose corticoids, what are we doing to the adrenals?

Answer 30

We are replacing / adding to what they normally have so adrenals do not make steroids anymore

Question 31

Prolonged glucocorticoid therapy should ONLY be used for disorders that..

Answer 31

Are life threatening | Have the potential for long term disability

Question 32

Termination of long term therapy of glucocorticoids is by...

Answer 32

TAPER

Question 33

Glucocorticoids are usually given by a...

Answer 33

Burst and taper