Nonopioid & Opioid Analgesics

Question 1

ALT-alanine aminotransferase
ALP-alkaline phosphate
AST
BILIRUBIN

Answer 1

check these Liver Enzyme Tests in pt’s taking high doses or overdoses of acetaminophen

Question 2

Acetaminophen: Do not self-medicate longer than

Answer 2

5 days

Question 3

Safe Adult Acetaminophen dose is

Answer 3

200 mg/d (2g/day)

not to exceed 4g/day to avoid Liver Damage

Question 4

Toxic level of Acetaminophen is:

Answer 4

> 50 mcg/mL

>200 mcg/mL –> Hepatoxicity

Question 5

Normal serum level of Acetaminophen is:

Answer 5

5-20 mcg/mL

Question 6

Antidote for Acetaminophen

Answer 6

acetyl-cysteine

Question 7

Hives: are raised, often itchy, red welts on the surface of the skin. They are usually an allergic reaction to food or medicine.

Answer 7

Urticaria

Question 8

May cause seizure

Answer 8

Morphine

Question 9

Renal Disease, Intracranial Pressure, Resp. Disorders

Answer 9

Morphine Contraindications

Question 10

Urinary Retention SE; monitor Output

Answer 10

Morphine

Question 11

Pinpoint Pupils

Answer 11

Morphine overdose

Question 12

Confusion, Dizziness (SE) from Orthostatic Hypotension (AE)

Answer 12

Morphine

Question 13

Pt. to report:
Blurred Vision
Headaches
Difficulty Breathing

Answer 13

Morphine

Question 14

Administer undiluted.

Do not mix w/ Barbiturates.

Answer 14

IV Nalbuphine

Question 15

Hallucinations
Tachycardia
Resp. depression

Answer 15

Nalbuphine AE

Question 16

Blurred Vision
Dysuria (painful or difficult urination)
Rash
Constipation
Headaches
Dizziness

Answer 16

Nalbuphine SE