Terms
Mrs. P is recovering. She requires continued pain management and has found that she needs more medication for the same pain relief. Mrs. P is describing her level of pain?
What is tolerance
A 24-year-old patient presents with pinpoint pupils, respiratory depression, and altered mental status. What is another name for pinpoint pupils?
What is Miosis
A young woman has been taken to the ER because of a suspected overdose of morphine tablets. The nurse prepares to administer which drug?
What is naloxone (Narcan).
What has properties of both the agonist and antagonist?
What is agonist-antagonist.
Pain that is sudden and usually subsides when treated.
Acute pain
Any drug that binds to a receptor and causes a response has _______ properties?
What is Agonist
Ms. D is taking a drug that binds to part of a receptor and causes effects that are not as strong as those of a pure agonist. She is taking a (n) ________ agonist.
What is partial
A ______________ is a protein found on the surface of a cell that binds to specific molecules, such as hormones or neurotransmitters, and initiates a cellular response.
What is cell surface receptor
Which opiate receptors in the brain produce the analgesic, euphoric effects?
What is mu, kappa
Persistent or recurring pain that is often difficulty to treat
Chronic pain
Mr. H's drug binds to a receptor but causes an effect opposite to that of agonist. He is taking a drug with _____ properties.
What is Antagonist
You are caring for a 78-year-old post-operative patient who reports severe pain rated 9/10. The patient has no history of taking opioid medications and has only used over-the-counter pain relievers like ibuprofen in the past. The physician orders IV morphine for pain management. What is this termed as?
What is Opioid naive.
Narcan is used for the treatment of?
What is Postoperative acute respiratory depression, Opioid adverse effects (reversal), and suspected acute opioid overdosage
What are the actions of the opioid analgesics on the various organs and structures of the body?
What is Cardiovascular, CNS, dermatologic, GI, Respiratory, Cough, Medulla.
In the World Health Organization (WHO) pain relief ladder, what class of medication is typically used for moderate pain when first-line treatments (e.g., NSAIDs) are insufficient?
Weak opioids
Mr. B has been taking an opioid pain reliever for a week. When his pain level increases, the drug is not as effective. He is given a second analgesic drug in addition to the first drug. "Two pain killers?" he asks you. "Is that safe?" You explain that the second drug is not a primary analgesic but has properties that will add to the analgesic effects of the opioid. It is being used, then as a ______ drug.
What is Adjuvant
What is a system that allows patients to self-administer small doses of pain medication by pressing a button when they feel pain.
What is Patient-Controlled Analgesia
What are generalized reactions of Opiate Antagonists
What is Nausea, vomiting, sweating, tachycardia, increased blood pressure and tremors.
What is the most widely used opioid, that is effective for moderately severe to severe pain.
What is Morphine Sulfate
What are drug specific nursing diagnoses pertaining to opioids?
Altered breathing pattern, injury risk, constipation, malnutrition: less than body requirements, impaired self-ventilation, acute pain.
Mr. V is brought to the ER in tremendous pain. The ER team recognizes the need to immediately bring the pain under some control to make assessement, diagnosis, and treatment more manageable. After assessing that is tis not contraindicated, the attending physical initiates administration of a very strong and addicting pain reliever. This is no doubt a ________ analgesic.
What is Opioid
You are caring for a 70-year-old patient diagnosed with advanced cancer who has experienced significant unintentional weight loss, muscle wasting, and fatigue. The patient’s condition is consistent with
What is Cachectic
What is the antagonist for Suboxione (buprenorphrine) and Targniq (oxycodone)?
What is the antagonist for Acurox (oxycodone)?
What is naloxone (Narcan).
What is Niacin.
What pregnancy category are opioid analgesics.
What is Category C.
What can increase the absorption of an opioid drug in a transdermal system, causing overdose of the drug.
What is Heat.