Chapter 19

Front 1

Reasons some patients experience pain with higher threshold than others is because of

Back 1

Conditioning ethnic background sensitivity or physiological factors

Front 2

Endorphins are__________analgesics produced as a reaction to pain or intense exercise such as a runner's high

Back 2

Endogenous

Front 3

The action of full Agonist analgesics classified as opiates is similar to that of ________ in altering perception of pain because they have no ceiling to their analgesic effects that is medication level where there is no enhanced analgesia

Back 3

Opium

Front 4

Opiates are listed under the controlled substance schedule in the United States and include both natural opium alkaloids and

Back 4

Synthetics

Front 5

Pain medications such as Darvon and Darvocet are examples of synthetic opioids that contain the drug________ which are linked to death from drug overdose and now require an FDA warning statement emphasizing their risk

Back 5

Propoxyphene

Front 6

The patient who receives an opioid analgesics over a continuous period tend to develop ________ to the drug and will be less responsive to is analgesic effect unless larger doses are administered

Back 6

Tolerance

Front 7

Opioids administered consistently results and the patient's developing of physiological_______ leading to withdrawal symptoms when the medication is discontinued abruptly

Back 7

Dependence

Front 8

Sufficient pain control is essential for the terminally ill patient with constant pain and analgesics should be given

Back 8

Around the Clock

Front 9

The healthcare practitioner knows that the ______of opioids with non opioid medications and adjuvant drugs provides analgesia that is more effective for the terminally ill patient

Back 9

Combination

Front 10

Terminal pain is best controlled by administering analgesics at regular intervals with additional as-needed basis for_____ pain

Back 10

Breakthrough

Front 11

For the patient experiencing _____ pain, the addition of tricyclics antidepressant or an anticonvulsant to the pain regime will decrease the amount of needed dosage of opioids

Back 11

Chronic

Front 12

Side effects of opioid analgesics

Back 12

Sedation, dizziness ,hypotension, respiratory, depression, and bradycardia.

Front 13

Opioid analgesics must be used with extreme_____ in patients with central nervous system depression, head injury, or conditions associated with increased intracranial pressure.

Back 13

Caution

Front 14

Healthcare practitioners recognize that________ is not recommended for routine use due to a metabolite which may accumulate in patients and cause seizures in patients with kidney disease

Back 14

Meperidine

Front 15

If opioid are administered with muscle relaxants, antihistamine, psychotropic, or alcohol the effect of the opioid will be______.

Back 15

Enhanced

Front 16

Sedative / hypnotic substance used to promote_____ in smaller Doses and promote_____ in larger doses.

Back 16

Sedation

Sleep

Front 17

The anti-migraine agent sumatriptan(imatrex) has no therapeutic value for the_______ management of migraine headaches.

Back 17

Prophylactic

Front 18

Serotonin receptor Agonist are indicated for the _____treatment of migraine in adults

Back 18

Acute

Front 19

Acetaminophen is an over-the-counter analgesic and is used extensively in the treatment of _____to moderate pain and fever

Back 19

Mild

Front 20

Patients taking acetaminophen frequently should be cautioned that alcohol ingestion could lead to potential____ damage

Back 20

Liver

Front 21

For the treatment of nerve pain associated with herpes, arthritis, diabetes, cancer, migraine or tension headaches, insomnia, and depression ______antidepressants are often prescribed

Back 21

Tricyclics

Front 22

Tricyclic antidepressants increase available norepinephrine and serotonin, which block pain ________and thus relieve pain that patients described as burning pain

Back 22

Transmissions

Front 23

Unlike opioid analgesics in which the therapeutic effect is felt in less than an hour, patients taking tricyclic antidepressants must allow _____ to feel full therapeutic effect.

Back 23

Two to three weeks

Front 24

For patients in whom oral analgesic may not be a viable option for pain control, _______ if available topically in a patch(lidoderm)

Back 24

Lidocaine

Front 25

Side effects that may occur when opioid and a tricyclic antidepressant

Back 25

Increase constipation, hypertension, sedation.

Front 26

The first line________ prescribed for neuropathic pain therapy is babapentin (Neurontin)

Back 26

Anticonvulsant

Front 27

Sedative hypnotic medications such as benzodiazepines like Temazepam (Restoril) and nonbenzodiazepines like Zolpidem ( Ambien) recommended for only _____use.

Back 27

Short-term

Front 28

Opioid analgesics are available in various strengths, is concentrated Solutions, and in____.

Back 28

Combination

Front 29

Analgesics

Back 29

Relieve pain

Front 30

Sedative

Back 30

are given to calm, soothe, or produce sedation.

Front 31

Hypnotics

Back 31

Are given to produce sleep

Front 32

Antihistamine such as diphenhydramine Benadryl have an extended Half-Life, leading to morning after problems when you used as______ _______ in older adults

Back 32

Sedative / hypnotics

Front 33

Patient has a history of gastric ulcer contradict that would be over the counter

Back 33

NSAIDs

Front 34

Osteoporosis

Back 34

Weight-bearing exercises

Front 35

You take ____for a gastric ulcer

Back 35

Naproxen

Front 36

NSAIDs

Back 36

Should be taken with food or milk

Front 37

Can cause blood in the urine or the stools

Back 37

NSAIDs

Front 38

Vitamin d and calcium

Back 38

I are taken for osteoporosis

Front 39

Tricyclic antidepressants are useful in the treatment of

Back 39

Nerve pain related to neuropathy

Front 40

Primary ingredients in Percocet

Back 40

Tylenol and oxycodone medicine may cause dizziness

Front 41

Alcohol ___the side effects when taken with opioids

Back 41

Potentiates

Front 42

Faisal Max should be taken ____prior to eating or sitting up

Back 42

30 minutes

Front 43

Opioid given to cancer patients

Back 43

Morphine, No Limit, Around the Clock

Front 44

An adjutant analgesic might be combined with a opioid called

Back 44

Elavil

Front 45

, takes 2 to 3 weeks for full benefit of medication to take full effect

Back 45

Amitriptyline

Front 46

After a head injury is ruled out ______might be given for pain relief

Back 46

Demerol

Front 47

Osteoporosis with cancer in a patient should be given

Back 47

Evista

Front 48

, the classic signs of opioid toxicity is

Back 48

Constipation comma urinary retention , respiratory depression, pinpoint pupils, sedation, decreased GI motility

Front 49

Which of the following medications are classified as NSAIDs

Back 49

Ibuprofen, Ashburn, Naproxen

Front 50

Methadone

Back 50

Taken for patients with narcotic withdrawal

Front 51

Fentanyl

Back 51

Is an extended release pain reliever patch frequently given preoperatively or for a conscious sedation

Front 52

Benzodiazepines

Back 52

Triazolam ,Lorazepam ,diazepam, alprazolam

Front 53

Aspirin

Back 53

Is associated with reyes syndrome in children

Front 54

Sumatriptan (Imitrex)

Back 54

Used for treatment of migraines

Front 55

Lidocaine patches

Back 55

Are to be worn 12 to 24 hours a day

Front 56

Vitamin K

Back 56

Blood thinner antidote

Front 57

(Narcan )naloxone

Back 57

Is an opioid antidote

Front 58

Antidote for Lorazepam is

Back 58

Flumazenil (romazicon)

Front 59

Acetaminophen is a

Back 59

Analgesic / antipyretic drug

Front 60

Adjuvant analgesics

Back 60

Originally intended for treatment of conditions other than pain