Midterm Exam: NR565 NR 565

Midterm Exam: NR565 / NR 565

(Latest 2025 / 2026) Advanced Pharmacology Fundamentals | Questions & Answers | 100% Correct | Grade A - Chamberlain

Question:

When to refer a patient to a pain specialist?

Answer:

required for patients who take 120 mme per day of morphine milligram equivalents

Question:

What is used to calculate pt's overdose risk?

Answer:

total morphine milligram equivalent (MME) per day to help assess the patient's overdose risk. If it is high (≥50 MME/day and especially ≥90 MME/day)

Calculate total daily dose: 1. daily amount of each opioid that patient takes 2.convert to MME, multiply dose for each opioid by conversion factor 3. add them together 1 / 4

Question:

What is MME and when to use?

Answer:

morphine milligram equivalent, represents the potency of an opioid in comparison to morphine, used to identify opioid prescription burden of a person

Question:

What is the prescription drug monitoring program?

Answer:

electronic databases enable providers to access information regarding a patient's prescription history of controlled substances. Nearly all states have implemented PDMPs, and some states require providers to check the PDMP before prescribing controlled substances.

Question:

When should PDMP be used?

Answer:

anytime a controlled substance is prescribed, refilled, or filled

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Question:

Why is PDMP important?

Answer:

identify those at risk for overdose

Question:

Assess someone for possible drug diversion?

Answer:

Urine test at least yearly PDMP routinely

Question:

How does renal and hepatic function impact medication levels in body?

Answer:

Patients with renal or hepatic insufficiency can experience greater peak effect and longer duration of action for medications, thereby reducing the dose at which respiratory depression and overdose may occur. Similarly, for patients ages 65 years and older, reduced renal function and medication clearance due to age can result in a smaller therapeutic window between safe dosages and dosages associated with respiratory depression and overdose.

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Question:

How do elderly metabolize differently than younger people?

Answer:

Older adults metabolize opioids slowly and therefore require lower doses than younger adults.

Question:

When should naloxone be prescribed?

Answer:

with every opioid prescription

Question:

What is the typical dose of naloxone and how is it administered?

Answer:

• mg, nasal spray- one spray to one nostril

If no response, additional doses can be given every 2 to 3 minutes until emergency services arrive

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