methadone

Morphine, Codeine, and Methadone have a high potential for abuse or physiological/psychological dependency. Which class of drugs do they belong in? 1. designer drugs 2. stimulants 3. narcotics 4. inhalants

3. narcotics

A nurse is discussing the use of methadone with a newly licensed nurse. Which of the following statements by the newly licensed nurse indicates an understanding of the teaching? (Select all that apply.) A. "Methadone is a replacement for physical dependence to opioids." B. "Methadone reduces the unpleasant effects associated with abstinence syndrome." C."Methadone can be used during opioid withdrawal and to maintain abstinence." D."Methadone increases the risk for acetaldehyde syndrome." E. "Methadone must be prescribed and dispensed by an approved treatment center."

A. CORRECT: Methadone substitution is an oral opioid agonist that replaces the opioid to which the client has a physical dependence. B. CORRECT: Methadone administration prevents abstinence syndrome from occurring. C. CORRECT: Methadone substitution is used for both opioid withdrawal and long-term maintenance. D. Disulfiram, rather than methadone, places the client at risk for acetaldehyde syndrome if the client consumes alcohol while taking the medication. E. CORRECT: Due to the risk for physical dependence, methadone is required to be prescribed and dispensed by an approved treatment center.

A patient who is addicted to heroin begins a methadone maintenance program. Which of the following statements made by the healthcare provider correctly explains the rationale for treating this patient's substance abuse disorder with methadone. A. "It isn't possible for you to become addicted to methadone." B. "Methadone reduces the craving for heroin." C. "It's much safer to give methadone in large doses." D. "Methadone reduces the high that is felt with heroin." E. "If you take heroin while on methadone you'll get sick."

B. "Methadone reduces the craving for heroin." D. "Methadone reduces the high that is felt with heroin."

A patient is admitted to the psychiatric unit for treatment of narcotic addiction. The nurse would anticipate administration of which medication? A. Morphine B. Methadone C. Meperidine D. Naloxone

B. Methadone

Emergency medical personnel bring an unconscious patient to the emergency department. The patient's pupils are pinpoint and respirations are depressed. Intoxication of which of the following substances could contribute to these clinical signs? A. Methamphetamine B. Methadone C. Cocaine D. Ecstasy

B. Methadone

Methadone maintenance for heroin addiction is a harm reduction strategy because it reduces deviant behavior and introduces addicted persons to the health care system. What is a disadvantage to the use of Methadone? A. Methadone is inexpensive. B. Methadone carries a risk of overdose. C. Methadone prevents relapse. D. Methadone is long acting and effective orally.

B. Methadone carries a risk of overdose. Rationale: Methadone maintenance is a harm reduction intervention because it reduces deviant behavior (needle-sharing practices) and introduces addicted persons to the health care system. Methadone, when administered in moderate or high daily doses, produces a cross-tolerance to other narcotics, thereby blocking their effects and decreasing the craving for heroin. The advantages of methadone are that it is long-acting, effective orally, and inexpensive with few known side effects. However, there is a risk of overdose with the use of Methadone.

The nurse is providing care for a client undergoing opiate withdrawal. Opiate withdrawal causes severe physical discomfort and can be life-threatening. To minimize these effects, opiate users are commonly detoxified with: A. barbiturates. B. amphetamines. C. methadone. D. benzodiazepines.

C. methadone. **Rationale: Methadone is used to detoxify opiate users because it binds with opioid receptors at many sites in the central nervous system but doesn't have the same deleterious effects as other opiates, such as cocaine, heroin, and morphine. Barbiturates, amphetamines, and benzodiazepines are highly addictive and would require detoxification treatment.v

The nurse is caring for a patient with opioid addiction. The nurse anticipates that the patient will be prescribed which medication? A. Naloxone (Narcan) B. Meperidine (Demerol) C. Morphine (MS Contin) D. Methadone (Dolophine)

D. Methadone (Dolophine)Methadone is a synthetic opioid analgesic with gentler withdrawal symptoms and is the drug of choice for detoxification treatment.

A patient with renal cancer needs an opiate for pain control. Which opioid medication would be the safest choice for this patient? A. fentanyl B. hydromorphone (Dilaudid) C. morphine sulfate D. methadone (Dolophine)

D. methadone (Dolophine)

A synthetic opioid analgesic with gentler withdrawal symptoms and is the drug of choice for detoxification treatment.

Methadone

Which of the following is used as a substitute for heroin in some maintenance programs? a) Barbiturates b) Amphetamines c) Methadone d) Benzodiazepines

Methadone Explanation: Methadone, a potent synthetic opiate, is used as a substitute for heroin in some maintenance programs. The client has essentially substituted his or her addiction to heroin for an addiction to methadone

Which of the following is used as a substitute for heroin in some maintenance programs? a) Barbiturates b) Benzodiazepines c) Methadone d) Amphetamines

Methadone Explanation: Methadone, a potent synthetic opiate, is used as a substitute for heroin in some maintenance programs. The client has essentially substituted his or her addiction to heroin for an addiction to methadone.

A client scheduled for elective gallbladder surgery is addicted to heroin and is in a methadone treatment program. Postoperatively, the nurse would expect the client's surgical pain to be treated with which measure?

Morphine or other opioids

A client with opioid addiction is prescribed methadone maintenance therapy. When explaining this treatment to the client, which of the following would the nurse need to keep in mind? a) Methadone simulates the high of heroin. b) Methadone is a not physiologically addictive. c) Methadone is a non-opioid drug. d) The drug helps to satisfy the craving for the opioid.

The drug helps to satisfy the craving for the opioid. Explanation: Methadone maintenance is the treatment of people with opioid addiction with a daily, stabilized dose of methadone. Methadone is used because of its long half-life of 15 to 30 hours. Methadone is a potent opioid and is physiologically addicting, but it satisfies the opioid craving without producing the subjective high of heroin.

A client with opioid addiction is prescribed methadone maintenance therapy. When explaining this treatment to the client, which of the following would the nurse need to keep in mind? a) Methadone is a not physiologically addictive. b) Methadone is a non-opioid drug. c) The drug helps to satisfy the craving for the opioid. d) Methadone simulates the high of heroin.

The drug helps to satisfy the craving for the opioid.Explanation: Methadone maintenance is the treatment of people with opioid addiction with a daily, stabilized dose of methadone. Methadone is used because of its long half-life of 15 to 30 hours. Methadone is a potent opioid and is physiologically addicting, but it satisfies the opioid craving without producing the subjective high of heroin.

Methadone Maintenance Program

This is a treatment program for some people who are high functioning. They obtain methadone and take it for the rest of their life.

Methadone Taper

This is part of the management of opiate withdrawal symptoms, which begins at 40mg then is tapered down to 10 mg w/in 5 days. This is the most comfortable withdrawal method, but still has significant withdrawal symptoms.

Methadone over Heroine

This opiate has a longer half life than the other, which means a patient on this will take longer to show withdrawal symptoms.

When discussing methadone treatment with a client, the nurse teaches what? a) It decreases the severity of heroin withdrawal symptoms. b) The cure rate is extremely high. c) It is a nonaddictive treatment. d) It takes 1 to 2 years to cure an opiate addict.

a) It decreases the severity of heroin withdrawal symptoms.

After a long history of intravenous heroin use, a client has expressed willingness to stop using heroin. The nurse would expect the client to receive which medication to decrease the severity of withdrawal? a) Methadone b) Gabapentin (Neurontin) c) Ondansetron (Zofran) d) Amphetamines

a) Methadone

All of the following are positive aspects regarding methadone for heroin addiction except ... a) It is controlled be a physician. b) It is available in IV form. c) It is available in tablet form. d) It is a legal medication.

b) It is available in IV form.

Emergency medical personnel bring an unconscious patient to the emergency department. The patient's pupils are pinpoint and respirations are depressed. Intoxication of which of the following substances could contribute to these clinical signs. a. Methamphetamine b. Methadone c. Cocaine d. Ecstasy

b. Methadone

A client with opioid addiction is prescribed methadone maintenance therapy. When explaining this treatment to the client, which of the following would the nurse need to keep in mind? a) Methadone is a not physiologically addictive.b) Methadone simulates the high of heroin.c) Methadone is a non-opioid drug.d) The drug helps to satisfy the craving for the opioid.

d) The drug helps to satisfy the craving for the opioid.