What effect will occur if a patient being treated with naltrexone ...

[MGLQZ]

What effect will occur if a patient being treated with naltrexone (ReVia) for substance abuse ingests opioids or alcohol?
 
  a. Increased euphoria
  b. Nausea, vomiting, and diarrhea
  c. Deep sedation
  d. An absence of the high associated with drugs

Question 2

What must be administered before glucose infusions for a patient in alcohol withdrawal to prevent Wernicke's encephalopathy?
 
  a. Chlordiazepoxide (Librium)
  b. Thiamine
  c. Diazepam (Valium)
  d. Bromocriptine (Parlodel)

[chloejackso]

Answer to Question 1

ANS: D
Naltrexone is an opioid antagonist prescribed to block the pharmacologic effects of the high associated with opioids and alcohol. Studies report less alcohol craving and fewer drinking days, especially when naltrexone is combined with psychosocial treatment. Naltrexone prevents the euphoria associated with taking drugs like opioids and alcohol. These are symptoms of taking alcohol in combination with disulfiram (Antabuse). Naltrexone is not sedating.

Answer to Question 2

ANS: B
Thiamine and multiple vitamins should be administered routinely to patients in alcohol withdrawal. Intravenous fluid therapy for rehydration may be necessary, but thiamine must be administered before glucose infusion to prevent Wernicke's encephalopathy. Benzodiazepines are given for treatment of anxiety and seizures associated with alcohol withdrawal. Bromocriptine is not used to prevent Wernicke's encephalopathy.

[MGLQZ]

Thanks

[chloejackso]

Welcome