Q314-325

All of the following are Disadvantages (Challenges) of using Methadone are true except:
Wide, unpredictable variable interpatient pharmacokinetics.
Potency ratio changes with higher doses.
Deposition in tissues can occur as a result of the dissociation between half-life and analgesic duration and poses the risk of delayed toxicity.
Risk of respiratory depression, greatest at the start of therapy.
None of the above are true.
When bone pain occurs, which of the following may be an effective adjuvant to morphine?
Ibuprofen
Acetaminophen
Amitriptyline
Mexilitine
To calculate the equivalent parenteral dosage of 30 mg of oral morphine, divide the oral dosage of morphine by
1.5
2.0
3
6
When titrating morphine, the most appropriate oral breakthrough dosage for a patient receiving a baseline dosage of 30 mg by mouth every 4 hours is
2 mg to 5 mg
10 mg to 15 mg
20 mg to 39 mg
1 mg to 3 mg
When pain related to nerve damage occurs, which of the following may be an effective adjuvant to morphine?
Nortriptyline
Scopolamine
Ranitidine
Naproxen
A patient is receiving 60 mg of oral morphine each day. The equivalent daily dosage of parenteral hydromorphone is
30 mg
20 mg
5 mg
3 mg
6 mg
n the ICU the use of morphine or other opioids appropriate for treating moderate-to-severe pain is often withheld during the last few weeks or days of the patient’s life because of fear of the risk of?
addiction
tolerance
respiratory depression
constipation.
When the common side effect of constipation occurs as a result of opioid therapy, an appropriate first step is?
digital disimpaction
soap-suds enema
trial of docusate
asking the patient about previous laxative use.
Most terminally ill patients on opioid therapy require individually titrated dosages of potent bowel stimulants such as?
senna
sorbitol
psyllium
docusate.
When a home hospice patient can no longer swallow, which of the following is a preferred alternative route of opioid administration?
Sublingual
Intravenous
Intramuscular
Epidural
When treating pain caused by increased intracranial pressure, an effective adjuvant to morphine would be
strontium 89
acetaminophen
dexamethasone
hydromorphone
Which of the following most commonly occurs with opioid therapy?
Myoclonus
Delirium
Urinary incontinence
Drowsiness
0
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