Nicotine
Opioids
NSAIDS
???
Antagonists
100

Nicotines MOA

Stimulates nicotinic receptors in the brain to release dopamine and epinephrine causing vasoconstriction 

100

Common side effects of opioids 

-Constipation / dry mouth / pin point pupils / orthostatic hypotension / bradycardia / tachycardia / seizures  

100

What do NSAIDS treat?

-Fever

-Mild-moderate pain

-Reduce inflammation 

100

In the video for exam 2 about smoking being more of an emotionally compulsive habit, what 3 dietary factors that result from the "withdrawal"?

1. Caffeine overdose

2. Hypoglycemia

3. Dehydration 

100

This antagonists therapeutic use is responsible for reversal of CNS depression and respiratory depression during suspected opioid overdose 

Narcan/Naloxone

200

What are some withdrawal symptoms of nicotine?

-cravings / nervousness / restlessness / irritability / impatience / impatience / increased hostility / insomnia / impaired concentration / weight gain

200

Name important nursing interventions the nurse should do when a pt has taken an opioid 

-monitor I&O; O at least 600mL/d 

-Check bowel sounds if not voided / increase fiber / try to administer laxative after 3 days of not voiding

-check pupils

-have opioid antagonist available

200

Name the 5 NSAIDS we need to know for exam 2

Don't forget the mnemonic ;) 

Advil/Ibuprofen 

Aleve/Naproxen 

Toradol/Ketorolac

Indocin/Indomethacin

Celebrex/Celecoxib

200

This antidepressant medication can also be used to treat smoking cessation

Wellbutrin/Bupropion 

300

Risk factors FOR smoking

-age 

-socioeconomic status

-lack of engagement in school, religious, and other activities 

300

What scale of pain does oxycodone treat?

Moderate>severe

300

What are some major side effects of NSAIDS

-GI ulcers (reduces the protectie mucosal lining in our gut walls leaving them more susceptible to damage from stomach acid) /abdominal pain /bloody stool / increased chance of bleeding / bronchospasms /nephrotoxicity (reduces blood flow to the kidneys) /fluid retention

300

What are the symptoms of marijuana psychosis?

-paranoid deliusions

-suspicousness

-sense of grandiosity


300

This type of nicotine AGONIST should be taken with a full glass of water, and selectively binds to the alpha4beta2 nicotinic ach receptors preventing the binding of nicotine to receptors 

Varenicline 

400

Risk factors FROM smoking

-lung cancer / COPD / Coronary heart disease / graves disease / early menopause / dysmenorrhea / impotence / osteoporosis / discolored teeth and fingernails /premature aging / wrinkling / reduced sense of smell and taste / stroke 

400

What scale of pain does Dilaudid/hydromorphone treat?

moderate>severe pain

400

What is some important patient teaching for NSAIDS?

-Don't take with acetaminophen / at the same time as aspirin / take with food and full glass of water / GI distress

400

This antagonists MOA is responsible for competitively blocking the effects of opioids including CNS depression w/o opioid like effects and also helps manage alcohol dependency 

Vivitrol/Naltrexone 

500

How do you determine pack-year?

You multiply the number of packs you smoke per day by the number of years you have smoked

Examples:

“One pack-year” is smoking 20 cigarettes a day for one year.

 If someone has smoked 10 cigarettes a day for 6 years they would have a 3 pack-year history.

Someone who has smoked 40 cigarettes (2 packs) daily for 20 years has a 40 pack-year history.

500

NSAIDS MOA

Inhibits COX1 and COX2 by blocking arachidonate binding

500

MULTIPLE QUESTION

1. This type of smoking deterrent can be used orally or transdermally

2. What are some important side effects of them?

1: Nicorette/ Gum and patches

2: Tachycardia / chest pain / hypertension / headaches

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