Harm Reduction (3 Questions)

Question 1

Know various methods of harm reduction.

Answer 1

*

Question 2

Harm Reduction

• To ____ disease and promote health that focuses on evidence based strategies or mitigating health risks associated with ____ use and other __-risk behaviors
• Preventing adverse consequences of high-risk behavior without?

Answer 2

• Prevent, drug, high

- without necessarily reducing drug consumption or changing high-risk sexual behavior

Question 3

Harm Reduction Methods (4)

Answer 3

1) Condom distribution
2) Syringe Services Programs
3) Prescription Drug Monitoring Programs
4) HIV treatment-PrEP and PEP

Question 4

Syringe Services Programs (SSPs) =

Answer 4

= access to sterile syringes

Question 5

Prescription Drug Monitoring Programs (PDMPs) =

Answer 5

= monitors patients and can help prescribers and pharmacists identify patients at high-risk for drug abuse so they can benefit from early interventions

Question 6

List some opioids

Answer 6

Oxycodone 
Vicodine 
Morphine 
Methadone 
Fentanyl 
Heroin

Question 7

Drug for opioid overdose

Answer 7

Naloxane (Narcan)

• counteracts CNS depression from heroin oxycodone, morphine

Question 8

Know which services can and cannot be paid for funding from the Consolidated Appropriations Act of 2016

Answer 8

*

Question 9

What does the Consolidated Appropriations Act of 2016 cover?

Answer 9

Federal funding for Syringe Services Programs to support a comprehensive set of services

Question 10

What are some services of the consolidated appropriations act in regards to the syringe services program?

1) Access to ____ needle and syringes free of cost
2) Safe ___ of used syringes/needles
3) E____ on ____ injection practices, w___ care, and o____ prevention
4) R____ to substance use disorder p____

5) Counseling and testing for (2)
6) Tx for HIV (2)
7) Tx for Hep (3)
8) Screening for other (2)
9) Prevention of ____ to ___ HIV transmission
10) other medical, social, and mental health services

Answer 10

1) sterile
2) disposal
3) Education, safer, wound, overdose
4) Referral, programs

5) HIV, Hep
6) PrEP, PEP
7) Hep A, B, C vaccines
8) STD’s, TB
9) mother to child

Question 11

What does the Consolidated Appropriations Act of 2016 not cover?

Answer 11

Cannot be used to purchase sterile needles or syringes for illegal drug injection

Question 12

Know indications for Pre-expsure (PrEP) and post-exposure prophylaxis (PEP)

Answer 12

*

Question 13

PrEP

• Oral medication =
• when taken prior, it can prevent virus from establishing a ____ infection
• when taken consistently, can reduce HIV infection risk by up to __ %

Answer 13

• Truvada (contains tenofovir and emtricitabine)
• permanent
• 92%

Question 14

PrEP Guidelines

1) Patients must complete an HIV testa and confirm a ____ status before starting this tx
2) Should be counseled on adherence to HIV ___ reduction such as?
3) Recommend regular ____ of HIV infection status, SE, adherence, sexual or injection risk behaviors

Answer 14

1) Negative
2) risk (condom use)
3) monitoring

Question 15

PrEP Indications

1) For those at?
2) In a relationship with a?
3) Men who are? who have had? or diagnosed with?
4) Heterosexual men and women who?
5) Users of?
6) Only for ppl who are at an ongoing substantial risk

Answer 15

1) high risk
2) HIV + partner
3) Gay/bisexual, anal sex w/o condom, dx of STD in past 6 months
4) unprotected sex with partners of unknown HIV status
5) Injection drug users

Question 16

PEP

• Drug =
• ___ day course of a __ drug antiretroviral regimen

Answer 16

• Antiretroviral drugs (tenofovir, emtricitabine raltegravir) after a single high-risk event to stop HIV seroconversion
• 28 day, 3

Question 17

PEP Guidelines

1) Must start ____ within ___ hours of exposure
2) Tested for (2) prior to starting PEP

Answer 17

1) ASAP, 72

2) HIV, viral hepatitis

Question 18

PEP Indication =

Answer 18

= For ppl who need to PREVENT HIV AFTER A SINGLE HIGH RISK EVENT -> unprotected sex, needle sharing drug use, sexual assault