Discussion #1 Response
The discussion post mentions Narcan as a narcotic antagonist, meaning it purposes to reverse the overdose of opioids as it stops the effects they have on the brain (Creech, 2016). They are safe, easy to use, effective, and are approved by the FDA for a prescription to patients at risk of an opioid overdose. According to Creek (2016), Narcan effectively antagonizes narcotics which has made numerous federal administrative agencies to allocate funds to increase its access.
The newest drug used for opioid Medication-assisted treatment is b uprenorphine. One of its broader applications includes the treatment of opioid dependence (Li, 2016). The post provides a more in-depth clarification of it being an opioid antagonist that acts by producing a euphoric effect and respiratory depression.
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Discussion #2 Response
The post first defines dextromethorphan as over-the-counter non-opioid cough medicine. It further states that it is a derivative of opioid which causes euphoria when taken in high doses, it may be abused. Therefore, its easy availability, relatively low price, and the feel-good effect which dextromethorphan has are the major reasons for its abuse (Fei & Shin, 2018).
The second part of the post provides a clear difference between a Nurse Practitioner in the reduced and the restricted state. The American Association of Nurse Practitioners states that a reduced practice means the practice and licensure laws in a particular state reduce the Nurse Practitioner’s ability to practice in at least one element, which compels practitioners to collaborate with other healthcare providers during care provision. On the other hand, the Nurse practitioner in the restricted state has their ability to engage in at least one element restricted. Therefore, to provide healthcare, they are required to be under career-long supervision or team management by another healthcare provider. According to the National Practitioner School, Nurse Practitioners must be under the supervision of a physician or a surgeon. Additionally, prescription of medication or medical devices by Nurse Practitioners in California requires a "furnishing number" while in Florida, they must have either a proof of malpractice insurance or an exemption.
References
Creech, C. (2016). INCREASING ACCESS TO NALOXONE: ADMINISTRATIVE SOLUTIONS TO THE OPIOID OVERDOSE CRISIS. Administrative Law Review, 68(3), 517-550. Retrieved January 18, 2020, from www.jstor.org/stable/24801342
Fei, S. H., & Shin, T. K. (2018). A Case Series of Dextromethorphan Abuse. Malaysian Journal of Psychiatry, 27(2), 20-22.
Li, J. (2016). Buprenorphine analogue BU08028 is one step closer to the Holy Grail of opioid research. Proceedings of the National Academy of Sciences of the United States of America, 113(37), 10225-10227. Retrieved January 18, 2020, from www.jstor.org/stable/26471758
Nurse Practitioner Schools. How Does NP Practice Authority Vary By State? Retrieved from https://www.nursepractitionerschools.com/faq/how-does-np-practice-authority-vary-by-state/
