WEEK 1 NARCOTICS

Question 1

What are 2 examples of opiates?

Answer 1

Morphine, codeine

Question 2

What are 3 examples of opioids?

Answer 2

Fentanyl, demerol, oxycodone

Question 3

In the hospital, what is the definition of a narcotic?

Answer 3

All controlled drugs, including opioids, benzos, and barbiturates

Question 4

What are 2 things that should be done if a narcotic count discrepancy is found?

Answer 4

1. Rectify the error during the shift by asking all nurses on staff
2. If still unaccounted for, fill out a PSLS

Question 5

What are 4 factors to consider when administering opioids?

Answer 5

1. How much pain
2. How old
3. How big
4. “Opioid naive”

Question 6

What 2 assessment findings would make the nurse hold an opioid?

Answer 6

1. RR <10
2. LOC is 3 (drowsy, difficult to rouse) or higher

Question 7

What is the antidote for benzos?

Answer 7

Flumazenil

Question 8

When is the automatic stop date for narcotics usually set?

Answer 8

One week following order

Question 9

Naloxone is the antidote for what?

Answer 9

All opioids

Question 10

How does naloxone work as an opioid antagonist?

Answer 10

Displaces opioid at receptor site

Question 11

How long is naloxone’s duration of action, and what does this mean?

Answer 11

About 1-2 hours, meaning repeat injections are usually required

Question 12

What is the generic name for Dilaudid?

Answer 12

Hydromorphone

Question 13

What is the generic name for MS contin?

Answer 13

Morphine

Question 14

Name 3 examples of benzodiazepines

Answer 14

Clonazepam, diazepam, lorazepam

Question 15

Name 1 example of barbiturates

Answer 15

Phenobarbital

Question 16

Name 2 side effects of morphine

Answer 16

1. Dizziness/drowsiness
2. Constipation

Question 17

After administration of morphine sc, when should pain, vitals, and LOC be reassessed?

Answer 17

1 hour