Pain, Naloxone Prevention

Question 1

Childhood risk factors for Opioid Use

Answer 1

Poverty
Maltreatment
Family Dysfunction
Neighborhood disadv
School disadv
Assoc w deviant peers

Question 2

Childhood protective factors

Answer 2

+ social support
Coping skills
High expec for students

Question 3

Increasing Opioid px

Answer 3

$ profits
Push/use misleading info
Patient satisfaction scores
Lack of effective pain tx

Question 4

CDC Guidelines

Answer 4

Opioids are not 1st tx
Establish pain/function goals
Discuss risks/benefits
Use immediate release @ start
Use lowest effective dose
Px short durations (3 days or less)

Question 5

Starting/continuing controlled substances

Answer 5

Have agreeable outcomes that can be evaluated
Agree on exit strategy
Outcome= measure of benefit and risk

Question 6

Opioid deaths

Answer 6

Often happen w use of other drugs (benzos)

Question 7

RF for OD

Answer 7

Male
45-54
Less urban
No naloxone OD program
Low income/medicaid
Multiple px/prescribers
High daily opioid use

Question 8

Signs of overdose

Answer 8

Pale, clammy skin
Limp body
Blue lips/nails
Resp dep
Coma
Hypotensive, bradycardia

Question 9

Opioid OD distinct sign

Answer 9

Death rattle- exhaled breath w/ labored sound

Resuscitate immediately

Question 10

Opioid excess that may lead to OD

Answer 10

Unusual sleepiness/drowsiness
Confusion, slurred speech, intox behavior
Slow/shallow breathing
pinpoint pupils
HypoTN, bradycardia
Difficulty waking

Question 11

Naloxone

Answer 11

Non-selective comp opioid antagonist
Poor oral bio (use IV/IM/SC/IN)
T1/2= 60min, may need + doses
Esp for LA opioids

Question 12

Naloxone auto-injector

Answer 12

IM injection into thigh