Opioid Pharmacology
This opioid is the safetest alternative in a patient with a true morphine allergy involving hives and tongue swelling.
What is fentanyl?
Hospice is covered by this part of Medicare
What is Medicare Part A?
First-line pharmacologic treatment for restless leg syndrome
What are dopamine agonists (pramipexole or ropinirole)?
These scheduled laxatives are always first-line for opioid-induced constipation
What are stimulant laxatives (senna)?
These are the four components of decision-making capacity
What are understanding, appreciation, reasoning, and expression
This boy band sang "Bye Bye Bye"
What is NSYNC
This opioid may cause hypoglycemia or lower the seizure threshold as side effects.
What is tramadol?
This is the length of the initial certification period for a patient enrolled in hospice
What is 90 days?
First-line pharmacologic agent for delirium in palliative care
What is haloperidol?
A patient with advanced cancer and malignant bowel obstruction is on IV fluids and Haldol for nausea. This medication reduces GI secretions, decreases nausea, and can reduce the need for NG tube suction in inoperable malignant bowel obstruction
What is octreotide?
Common paraneoplastic metabolic emergency associated with bones, groans, stones, and psychic moans
What is malignant hypercalcemia?
This star famously had a "wardrobe malfunction" during their Super Bowel halftime appearance
Who is Janet Jackson?
Absorption of this medication decreases at higher doses, but its side effect profile becomes more accentuated?
What is gabapentin?
This must be completed when a patient enters their 3rd and subsequent benefit periods
What is a face-to-face encounter?
This type of pain pump should only be considered if a patient's life expectancy is estimated to be days to a few weeks
What is an epidural pump?
This prokinectic agent is contraindicated in complete mechanical bowel obstruction because it increases peristalsis against a fixed obstruction, risking perforation
What is metoclopramide (reglan)?
Spinal cord compression most commonly occurs at this vertebral level
What is the thoracic spine?
This singer holds the record for most grammy nominations
Who is Beyonce?
Osteonecrosis of the jaw can be a side effect of these three FDA approved medications used to treat bony cancer-related pain.
What are bisphosphonates (Zometa and Pamidronate) and Denosumab?
This is the minimum number of hours a hospice nurse must be present in the home when providing continuous care
What is 8 hours?
The psychostimulant with the most evidence for treating opioid-induced sedation and cancer-related fatigue
What is methylphenidate?
In a patient with a non-functional GI tract on TPN with a venting G-tube, this is the preferred long-acting opioid
What is transdermal Fentanyl?
What is the immediate first line treatment for malignant cord compression
What is high-dose decadron (16mg loading dose followed by 4mg every 6 hours)?
Before finding fame, Kim Kardashian worked as a personal assistant for this socialite
Who is Paris Hilton?
This neuroexcitatory morphine metabolite is responsible for opioid-induced neurotoxicity including myoclonus, hallucinations, and confusion.
What is morphine-3-glucuronide?
Under the Medicare hospice benefit, bereavement services must be provided for this duration following a patient's death?
What is 13 months (approximately 1 year)?
This is the only FDA-approved agent for chronic hiccups, and it works via dopamine blockade
What is chlorpromazine (thorazine)?
This peripheral mu-receptor antagonist does not cross the BBB and is used for opioid induced constipation when scheduled laxatives fail but contraindicated in a bowel obstruction
What is methylnaltrexone (Relistor)
What is the term for a drug-seeking behavior pattern, driven by undertreated pain, and resolves entirely with adequate analgesia and is not true addiction
What is pseudoaddiction
This is the name of the longest running game show in network TV history
What is The Price is Right?