Module 6

Question 1

Examples of opioids

Answer 1

Heroin, Fentanyl, Morphine, Oxycodone, Methadone

Question 2

what dose of narcan is given

Answer 2

0.4mg

Question 3

How does Naloxone work to reverse Opioid overdose?

Answer 3

It reverses the effects of opioids by competing for the same receptor sites displacing the opioid in the process

Question 4

Naloxone should be given in the _____ portion of the primary assessment for Opioid overdose.

Answer 4

A (airway)

Question 5

Opiod overdose assessment findings

Answer 5

Apnea, 
decreased resp drive
Slow HR, 
Low BP, 
Poor perfusion (pale, diaphoretic), pinpoint pupils

Signs of Overdose: Unconscious, drowsiness or difficulty staying awake, choking gurgling or snoring sounds, slow RR or no breathing, blue lips, dizziness or confusion

Question 6

Withdrawal from Opioids symptoms and timing:

Answer 6

Nausea, muscle cramps, depression, anxiety, opioid cravings, agitation. Symptoms of withdrawal begin at 6-12 hours and peak at 72 hours. Medical detox usually takes 5-7 days.

Question 7

Anticholingeric examples

Answer 7

Antihistamines, tricyclic antidepressants, midazolam, atropine, amitriptyline, oxybutyin

Question 8

Anticholinergic concerning assessment findings

Answer 8

Hot as a hare (hyperthermia)
dry as a bone (dry skin/unable to sweat)
blind as a bat (dilated pupils)
red as a beet (flushed skin)
mad as a hatter (hallucinations/delirium)

Question 9

Anticholinergic Signs of Overdose

Answer 9

Signs of Overdose: Unconscious, seizures,

Question 10

Sympathomimetic examples

Answer 10

Cocaine, amphetamines, ephedrine, caffeine

Concerning Primary Assessment Findings: Increase in RR, HR and BP, tremors, sweating, hyperreflexia

Question 11

Sympathomimetic overdose

Answer 11

Hypertension, widening pulse pressure, hyperthermia, seizure, chest pain

Question 12

Hallucinogenic examples

Answer 12

Phencyclidine (PCP), LSD, mescaline, ketamine, psilocybin, amphetamines (ex. MDMA (Ecstasy)

Question 13

Hallucinogenic concerning findings

Answer 13

Mood swings, lack of rationale thought, agitation, increased RR, HR, & BP, dilated pupils

Question 14

Hallucinogenic overdose

Answer 14

Hyperthermia, severe agitation, tremor

Question 15

Cholinergic examples

Answer 15

insecticides, nerve agents, nicotine, eye medication (ex.pilocarpine, physostigmine)

Question 16

Cholinergic concerning assessment findings

Answer 16

Nausea, GI cramps, excessive salvation, urinary incontinence, sweating

Question 17

Cholinergic overdose

Answer 17

Bronchoconstriction, fasciculations, weakness, seizures

Question 18

Hypnotic examples

Answer 18

Benzodiazepines, barbiturates, alcohols,

Question 19

Hypnotic concerning assessment findings

Answer 19

Cool and clammy skin, pale, sleepiness, low RR, HR, & BP

Question 20

Hypnotic overdose

Answer 20

Apnea, hypothermia, hyporeflexia, hypotension, unconscious