quiz five NSAIDS opioids and acetaminophen

Question 1

Pain tolerance definition

Answer 1

the amount of pain a person can endure without it interfering with normal function

Question 2

opioid tolerance definition

Answer 2

A common physiological result of chronic opioid treatment. it is a state of adaptation that results in the effects of a drug. large does amounts are required in order to maintain the same level of analgesia.

Question 3

Physical dependence definition

Answer 3

Physiological adaptation that results in withdrawal symptoms when the drug is discontinued.
Withdrawal symptoms-Mental agitation, tachycardia, elevated blood pressure, seizures.

Question 4

Acetaminophen definition

Answer 4

Drug that lacks anti-inflammatory properties
Blocks pain by inhibiting the synthesis of prostaglandin, a natural substance in the body that initiates inflammation. Reduces fever by acting on the hypothamus region of the brain which regulates temperature.

Question 5

NSAIDS definition

Answer 5

Drugs that have anti-inflammatory properties
Blocks he chemical activity of the enzyme called cyclooxygenase

Question 6

most important thing for the nurse to consider during an assessment before administering a dose of morphine sulfate to the patient when it comes to a patient vital signs or condition

Answer 6

• Pain level on a scale of 0-10.

Question 7

the patient will be discharged with a 1-week supply of an opioid analgesic for pain management after abdominal surgery- what would you include in the teaching plan?

Answer 7

Constipation may be prevented with adequate fluid and fiber intake.

Question 8

What medication class interacts with NSAIDS?

Answer 8

Anticoagulants & Corticosteroids

Question 9

What medication would you administer if a patient is very lethargic and his respirations are shallow, with a rate of 8 after they receive opioids?

Answer 9

Naloxone (Narcan)

Question 10

What is the most serious toxic effect of acute acetaminophen overdose?

Answer 10

Hepatic necrosis

Question 11

What are signs of chronic salicylate toxicity in adults? Aspirin overdose?

Answer 11

Chronic Salicylate Toxicity -
Aspirin Overdose
Tinnitus and Hearing Loss

Question 12

Can you use aspirin in 6-year-old children with a fever and if not why?

Answer 12

No. They could contract Reye’s Disease

Question 13

Why would a patient with history of coronary artery disease take aspirin daily?

Answer 13

It can protect against ischemic stroke and myocardial infarction (MI.

Question 14

which condition is a contraindication to the use of NSAIDs?

Answer 14

Allergy, Peptic Ulcer Disease, Bleeding disorders, Severe renal or hepatic disease, third trimester (Pregnancy Category D), Children and adolescents who have chickenpox or influenza (aspirin), known cardiovascular disease (celecoxib), and Ketorolac (tordal) should not be taken for longer than 5 days for risk of kidney damage.

Question 15

Why would a patient take Neurontin for pain?

Answer 15

• Neuropathic pain
• Neurontin-Neuro-Nerves
• Neurontin is an Antiepileptic Drug which is under the class of Anticonvulsive which is commonly used to treat Neuropathic pain.

Question 16

Which patient condition is contraindicated, and the patient should not receive acetaminophen? Think kidney and liver.

Answer 16

• Caution with Alcohol
• Contraindications
• Drug Allergy, Severe liver disease, G6PD disease

Question 17

Review Narcan and its half-life. How long will it last in a patient with an overdose?
Should you repeat the dose?

Answer 17

Naloxone (Narcan) IV has a half life of 1 hour (on ppt)
* Question on Test will be along these lines
* If a pt is given Narcan you need to go on break what should you instruct the nurse to do?
* Tell the nurse the half-life of Narcan,

Question 18

Review what breakthrough pain is an intervention if it happens.

Answer 18

Pain that occurs between doses of pain medications.
What to do-Dose may need to be shortened or a more potent drug may need to be started

Question 19

Nociceptive Pain

Answer 19

Difference-Pain that occurs from noxious stimuli which are detected by specialized nerve endings (nociceptors) and then transmitted to the CNS. This whole process is called Nociception and occurs in four phases (pg 138 of book.)
Symptoms-Sharp, aching, or throbbing.
Medication Classes-Opioid and Non-steroidal anti-inflammatory drugs

Question 20

Neuropathic Pain

Answer 20

Difference-Pain that occurs from a disturbance of function in a nerve.
Symptoms-Hypersensitivity or hyperalgesia to mild stimuli such as light touch or a pinprick, or the bed sheets on a person’s feet. This is also known as allodynia. It can also manifest as hyperalgesia to uncomfortable stimuli, such as pressure from an inflated blood pressure cuff on a patient’s limb. It may be described as heat, cold, numbness and tingling, burning, or electrical sensations.
Medication Classes-Adjuvants (Antidepressants and anticonvulsants)
local anesthetics (in book but not in ppt

Question 21

Acute pain

Answer 21

Onset-Sudden
Usually subsides when treated
Example-Ladder Fall hurt knee