NR-565 Advanced Pharmacology Fundamentals
Exam Questions
What is used to calculate a patients overdose risk?
Correct Answer:
MME total morphine milligram equivalent per day
When should you refer a patient to a pain specialist?
Correct Answer:
Referral to a pain specialist is required for patients who take 120 mg per day of morphine milligram equivalents
What is the PDMP?
Correct Answer:
Prescription Drug Monitoring Program
Used to effectively track patient's controlled substance uses across different health facilities (in the same state)
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When should narcan be prescribed?
Correct Answer:
factors that increase risk for opioid overdose, such as history of overdose, history of substance use disorder, higher opioid dosages (≥50 MME/day), or concurrent benzodiazepine use, are present.
Behaviors that predict substance abuse
Correct Answer:
NIDA-Modified ASSIST
Examples of schedule II meds
Correct Answer:
Some examples of Schedule II drugs are: combination products with less
than 15 milligrams of hydrocodone per dosage unit (Vicodin), cocaine, methamphetamine, methadone, hydromorphone (Dilaudid), meperidine (Demerol), oxycodone (OxyContin), fentanyl, Dexedrine, Adderall, and Ritalin
DEA description of scheduled drugs
Correct Answer:
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.
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Treatment of chronic pain
Correct Answer:
Nonpharmacologic therapy and nonopioid pharmacologic therapy are preferred for chronic pain.Benefits > Risks Establish goals Start with immediate release meds start with the lowest effective dose eval within 1-4 wks
What is methadone?
Correct Answer:
Nonpharmacologic therapy and nonopioid pharmacologic therapy are preferred for chronic pain.
What is the black box warning for methadone?
Correct Answer:
Methadone can cause life-threatening QT prolongation and severe respiratory depression. Because of the long half-life of methadone, it should be prescribed only by health care providers with special training in chronic pain management.
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