NR 567 Week 2 Study Worksheet: Analgesia and Anesthesia

Purpose

The purpose of this activity is to provide students with the opportunity to develop a comprehensive foundation in acute and critical care pharmacotherapy. Completion of the Study Worksheet will be used to complete the Week 2 Quiz.

Requirements

Download the Study Worksheet. Research and answer the questions below as you explore the Week 2 module and requirements. Enter your responses in the Week 2 Quiz by Sunday at 11:59 p.m. MT. Do not submit this form; complete the Quiz using the answers from the Study Worksheet.

Questions

1. Adding epinephrine to a local anesthetic, such as 1% lidocaine for local infiltration, has which of the following benefits?
2. Your patient reports a history of anaphylaxis to an “ester-type” local anesthetic. Which of the following, if given, would be most likely to provoke an allergic response in this patient?
3. An OR patient receives propofol for induction. What is the most likely adverse response associated with the administration of this pharmaceutical agent?
4. Which of the following is the least appropriate medication for a patient with suspected increased intracranial pressure?
5. It is noted that a trauma ICU patient is receiving adequate pain relief during painful procedures, but has increased skeletal muscle tone, an elevation in HR and BP, and post-procedure hallucinations and agitation as the drug wears off. Which of the following pharmaceutical agents is likely to create these effects?
6. You are managing a patient who presented to the emergency department with a severe headache. Shortly upon arrival, the patient’s neurological status rapidly deteriorates requiring airway management. Rapid sequence intubation is performed, and the patient suddenly develops a fever, hypertension, tachycardia, metabolic acidosis, hyperkalemia, and muscle rigidity. Which induction agent was most likely used?
7. You are selecting a neuromuscular blocking agent with the least cardiovascular side effect profile for an elderly patient with coronary artery disease. Which of the following medications should be avoided?
8. Your ICU patient is admitted following multisystem trauma secondary to a motor vehicle collision. The patient is ventilated and will be maintained on a neuromuscular blocking continuous agent to maintain neuromuscular blockage and deep sedation. Which of the following is a true statement?
9. Which of the following best describes the rationale for long-term methadone therapy in treating opioid addiction and abuse?
10. Which of the following is a pure opioid antagonist that binds competitively to opioid receptors, does not produce analgesia or opioid side effects, and reverses the toxic effects of agonist and agonist-antagonist opioids?