Narcan
What is the amount of one dose of intranasal Narcan?
4mg
Chest compressions should be done at a rate of (BLANK to BLANK) beats per minute?
100 to 120 BPM
What are some opioid withdrawal symptoms (name 5)?
Nausea, vomiting, nervousness, restless, irritability, stomach pain, diarrhea, body aches, sweating, fever, runny nose, trembling, fast pulse, goosebumps, pounding heartbeat, shivering, yawning
What is Pseudoaddiction?
A term coined in 1989 to describe the phenomenon of patients with pain being under-treated. The idea is that patients with legitimate pain that could be alleviated with opioid painkillers exhibit drug-seeking behavior that is misinterpreted as addiction.
True or False: Narcan is very likely to cause contraindication.
False, contraindication is a specific situation in which a drug, procedure, or surgery should not be used because it may be harmful to the person.
How deep should your chest compressions be for adults (inches)?
2 inches
Opioid drugs mimic what natural pain killers in the body?
Endorphins or Endogenous Opioids
Through a tetra-peptide sequence (lock and key).
What is the Michigan Automated Prescription System (MAPS)?
MAPS is used to track controlled substances, schedules 2-5 drugs. It is a tool used by prescribers and dispensers to assess patient risk and is also used to prevent drug abuse and diversion at the prescriber, pharmacy, and patient levels.
Why is Narcan effective when sprayed intranasally?
It provides easy access for Narcan to reach the bloodstream because the nose is lined with many blood vessels.
What is the bystander effect?
It's a social-psychological theory that states that individuals are less likely to offer help to a victim when there are other people present.
What are the three types of pain receptors opioids attach to in the brain?
Mu, Delta, kappa receptors
Kappa: hallucinations and dysphoria, an overwhelming sense of dissatisfaction, anxiety, or restlessness.
Mu & Delta: respiratory depression by suppressing the body's ability to detect carbon dioxide levels.
What is DEA Drug Scheduling?
Drugs, substances, and certain chemicals used to make drugs are classified into five (5) distinct categories or schedules depending upon the drug’s acceptable medical use and the drug’s abuse or dependency potential. The abuse rate is a determinate factor in the scheduling of the drug; for example, Schedule I drugs have a high potential for abuse and the potential to create severe psychological and/or physical dependence.
What can reduce the price of Narcan at your local pharmacy?
1. Insurance coverage
2. Discount Card Programs i.e. GoodRx, BuzzRx, SingleCare
When should you stop CPR?
1. Person starts breathing again
2. Someone is there to take over for you because of fatigue
3. EMS arrives
4. Someone brings an AED
5. The situation becomes dangerous
Pain signals are blocked by activating what system in the brain (system or area)?
Mesolimbic System or Reward Center or Midbrain
What is Michigan's Naloxone Standing Order Law?
This allows a pharmacist to dispense Naloxone without an individual prescription and without identifying a particular patient.
The FDA approved using Naloxone to treat drug overdoses in (year)?
1971
What should you do before starting chest compressions if the person is unresponsive and you're alone?
2. Call 911
Why do opioid drugs alleviate pain better than the body's natural pain killers?
Opioids drugs have a stronger bond affinity to pain receptors and bond for longer periods of time.
What is MOUD? Name 3?
Medications for Opioid Use Disorder (MOUD)
Previously known as Medication-Assisted Treatment (MAT) - Buprenorphine, Methadone, Naltrexone
Suboxone and Zubsolv: buprenorphine and naloxone