Question 1

The use of naloxone in a somnolent, unresponsive ER patient with barbiturate overdose will lead to:&#10;A) In improvement in neurologic status&#10;B) An increase in respiratory rate&#10;C) No response&#10;D) Cardiovascular status improvement&#10;E) Immediate withdrawal

Accepted Answer

Naloxone only antagonizes opiate receptors; it would have no effect on a GABA-agonist class overdose.

Question 2

A large IV push of naloxone to an unresponsive heroin addict can most commonly lead to:&#10;A) Respiratory depression&#10;B) Triggering of immediate withdrawal symptoms&#10;C) Decreased level of consciousness&#10;D) Pupillary constriction&#10;E) Hypotension and bradycardia

Accepted Answer

Opiate addicts will over time develop a higher opiate receptor density and therefore are in danger of withdrawal symptoms with a sufficient opiate antagonist dose.

Question 3

Opioid class medications effects do NOT include:&#10;A) Antidiarrheal&#10;B) Antitussive&#10;C) Analgesic&#10;D) Antiemetic

Accepted Answer

Opioids increase the incidence of nausea and vomiting.

Deck 36: Drugs to Control Pain