Chapter 6

Question 1

Opioids are considered first line therapy for (3)

Answer 1

-Pain associated with procedures (bone marrow biopsy)
-pain due to trauma or cancer (burns)
-visceral pain (appendicitis)

Question 2

Majority of opioids are used to relieve

Answer 2

acute and chronic pain

Question 3

Examples of opioids primarily indicated for preoperative sedation to reduce patient apprehension

Answer 3

Fentanyl (sublimaze, duragesic)
Alfentanil (alfenta)
Sufentanil (sufenta)

Question 4

Opioids re also used to treat what and suppress what

Answer 4

Suppress cough
Treat diarrhea

Question 5

Use of opioids is NOT contraindicated in what patients

Answer 5

Hypertensive patients

Question 6

Opioid analgesics are contraindicated in patients with

Answer 6

Bronchial asthma or heavy pulmonary secretion
Convulsive disorders
Biliary obstruction
Head injuries
Pregnancy

Question 7

Opioids should NOT be given if

Answer 7

A nonopioid analgesic will work

Question 8

What is opium

Answer 8

Dried juice from unripe seed capsules of the opium poppy

Question 9

Opioids are classified by mechanism of action at the receptor sites and include

Answer 9

Agonists
Mixed opioids
Antagonists

Question 10

Agonists are drugs that

Answer 10

Occupy receptors and activate them

Question 11

Antagonists are drugs that

Answer 11

Occupy receptors but do not activate them

Question 12

Antagonists block receptor activation by

Answer 12

Agonists

Question 13

Opioids act on the

Answer 13

CNS

Question 14

Opioids binds to receptors in both the ____ producing an altered perception of reaction to pain

Answer 14

CNS and spinal cord