Opioid Misuse

Question 1

In opioid misuse, which blood-borne viruses is the individual more likely to develop?

Answer 1

1. Hepatitis B
2. Hepatitis C
3. HIV

Question 2

Which secondary bacterial infections can be caused by injections in opioid misuse?

Answer 2

1. Infective endocarditis
2. Septic arthritis
3. Septicaemia
4. Necrotising fasciitis

Question 3

Which vessel disease is more likely to develop in those with opioid misuse?

Answer 3

Venous thromboembolism

Question 4

What are the symptoms of opioid overdose?

Answer 4

1. Pinpoint pupils
2. Respiratory arrest
3. Unconsciousness

Question 5

What is the emergency management of opioid overdose in a hospital setting?

Answer 5

IV naloxone. Dose up to 400mcg every 2-3 minutes.

Question 6

What are the first line drugs to promote opioid detoxification in community settings?

Answer 6

Methadone or buprenorphine