C H A P T E R 2 6
Opioids, opioid antagonists and antimigraine agents
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C H E C K Y O U R U N D E R S T A N D I N G
Answers to the questions in this chapter can be found in
Appendix A at the back of this book.
MULTIPLE CHOICE
Select the best answer to the following.
1.
According to the gate control theory, pain:
a.
is caused by gates in the CNS.
b.
can be blocked or intensified by gates in the CNS.
c.
is caused by gates in peripheral nerve sensors.
d.
cannot be affected by learned experiences.
2.
Opioid receptors are found throughout the body:
a.
only in people who have become addicted to
opiates.
b.
in increasing numbers with chronic pain
conditions.
c.
to incorporate pain perception and blocking.
d.
to initiate the release of endorphins.
3.
Most opioids are controlled substances because they:
a.
are very expensive.
b.
can cause respiratory depression.
c.
can be addictive.
d.
can be used only in a hospital setting.
4.
Injecting an opioid into an area of the body that is
chilled can be dangerous because:
a.
an abscess will form.
b.
the injection will be very painful.
c.
an excessive amount may be absorbed all at once.
d.
opioids are inactivate in cold temperatures.
5.
Proper administration of an ordered opioid:
a.
can lead to addiction.
b.
should be done promptly to prevent increased
pain and the need for larger doses.
c.
would include holding the drug as long as
possible until the person really needs it.
d.
should rely on the person’s request for
medication.
6.
Migraine headaches:
a.
occur during sleep and involve sweating and eye
pain.
b.
occur with stress and feel like a dull band around
the entire head.
c.
often occur when drinking coffee.
d.
are throbbing headaches on one side of the
head.
7.
The triptans are a class of drugs that bind to
selective serotonin receptor sites and cause:
a.
cranial vascular dilation.
b.
cranial vascular constriction.
c.
clinical depression.
d.
nausea and vomiting.
8.
The only triptan that has been approved for use in
treating cluster headaches as well as migraines is:
a.
naratriptan.
b.
rizatriptan.
c.
sumatriptan.
d.
zolmitriptan.
MULTIPLE RESPONSE
Select all that apply.
1.
Opioids are drugs that react with opioid receptors
throughout the body. Which of the following
would the healthcare provider expect to find when
assessing a person who was taking an opioid?
a.
hypnosis
b.
sedation
c.
analgesia
d.
euphoria
e.
orthostatic hypotension
f.
increased salivation
2.
The healthcare provider would expect to administer
an opioid as the analgesic of choice for which
people?
a.
a person with severe postoperative pain
b.
a person with severe chronic obstructive
pulmonary disease and difficulty breathing
c.
a person with severe, chronic pain
d.
a person with ulcerative colitis
e.
a person with recent biliary surgery
f.
a cancer person with severe bone pain
