Chapter 7

Question 1

What are opiates

Answer 1

drug derived from opium poppy plant; highly addictive; can be natural, synthetic, endogenous

Question 2

History of Fentanyl

Answer 2

first developed in 1959 synthesized by Dr Paul Janssen; illegally manufactured and distributed in US; used for cardiac and vascular surgery

Question 3

famous overdose from fentanyl

Answer 3

Singer Prince

Question 4

What Schedule is Fentanyl

Answer 4

Schedule II

Question 5

Medical Uses for Fentanyl

Answer 5

analgesic and as an anesthetic

Question 6

Street names for Fentanyl

Answer 6

China town, China girl, Great bear, murder 8, Apache, He-man, King ivory, Tango&Cash

Question 7

Effective dose of fentanyl as compared to morphine and heroin

Answer 7

100 times more potent than morphine and 50 times more potent than heroin

Question 8

Lethal dose of Fentanyl

Answer 8

2mg

Question 9

Fentanyl Effects on the body

Answer 9

relaxation, euphoria, pain relief, sedation, confusion, nausea, urinary retention, respiratory depression, drowsiness

Question 10

Fentanyl OD Symptoms

Answer 10

coma, respiratory failure, cold and clammy skin, changes in pupillary size

Question 11

Routes of Administration for Fentanyl

Answer 11

Injected, snorted, smoked, oral, blotter paper

Question 12

withdrawal effects of fentanyl

Answer 12

very miserable, appears 1-2 weeks after abuse, within 5 days symptoms of withdrawal subside

Question 13

withdrawal symptoms of fentanyl

Answer 13

pain and irritability, depression, anxiety, insomnia, hyperventilation, pupil dialation, elevated body temperature

Question 14

treatments for fentanyl withdrawal

Answer 14

Naltrexone, Clonidine, Ultra-Rapid opioid Detoxification

Question 15

when combined with fentanyl what drug provides greater relief from pain after surgery

Answer 15

Dexmedetomidine

Question 16

from 2010 to 2016, what has happened to number of stamp bags in Allegheny county containing fentanyl

Answer 16

fentanyl started to appear in 2014 and rose dramatically after that

Question 17

What is Narcan

Answer 17

brand name for naloxone which is a fast acting medicine that reverses an opioid overdose

Question 18

What is Narcan Used For

Answer 18

to revive someone experiencing an opioid overdose

Question 19

How does Narcan work

Answer 19

through nasal spray, an automatic injector, or a bottle of naloxone and a syringe

Question 20

History of Opioid Epidemic

Answer 20

Kentucky was a major area of opioid drug use; over 259 mil opioids prescribed a year; 199 to 2017 over 500,000 deaths from overdose

Question 21

Purdue Pharmaceutical

Answer 21

attempted to promote and regulate the use and prescribing of oxycontin for pain relief

Question 22

Are Prescription Painkillers gateway drugs

Answer 22

yes

Question 23

narcotic

Answer 23

any drug that dulls the senses, relives pain, and induces sleep

Question 24

analgesic

Answer 24

a drug that relieves pain

Question 25

naloxone

Answer 25

short-acting opioid receptor blocker that crosses the blood–brain barrier and enters the brain faster than heroin or morphine

Question 26

synthetic opiates

Answer 26

man-made opiates that are not chemically similar to naturally occurring opiates

Question 27

5th vital sign

Answer 27

pain

Question 28

naltrexone

Answer 28

antagonist medication that treats opioid use disorder

Question 29

clonidine

Answer 29

agonist that surpresses symptoms of opiate withdrawal

Question 30

ultra-rapid detoxification

Answer 30

treatment technique for opiate withdrawal where subject is put under heavy sedation and naloxone and clonidine is given to the subject to completely block opioid receptors

Question 31

dexmedetomidine

Answer 31

sedative

Question 32

fentanyl analog

Answer 32

acetylfentanyl, furanylfentanyl, and carfentanil

Question 33

Enhanced State opioid overdose surveillance (ESOOS)

Answer 33

oversees the opioid overdose deaths in 10 states in the US