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Quiz

PSY13 Opioid Substitution Treatment/Methadone

Gelöschter Nutzer 10 Fragen Aktualisiert am 14 Okt 2019

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Fragen in diesem Quiz (10)

  1. 1Aims of OST​ - Opioid Substitution Treatment (OST) (formerly known as: Methadone Maintenance Treatment (MMT) ​
    -reduce or cease [blank_start]illicit[blank_end] opioid use​
    - reduce risk of [blank_start]blood-borne diseases[blank_end] transmitted by injecting​
    - reduce risk of [blank_start]overdose[blank_end]​
    - reduce rates of substance-related [blank_start]crime[blank_end]​
    - support the client, family and whānau through recovery and [blank_start]access[blank_end] to support systems​
    1. Aillicit
    2. Bblood-borne diseases
    3. Coverdose
    4. Dcrime
    5. Eaccess
  2. 2Methadone:
    - A [blank_start]synthetic[blank_end] opioid agonist​
    - In NZ, Controlled Drug class [blank_start]B3[blank_end] ​
    - Commonly prescribed for moderate to severe pain and treatment of opioid dependence​
    - Long elimination half-life of [blank_start]15 – 60[blank_end] hours has been reported (Medsafe), therefore with repeated administration, doses have to be [blank_start]adjusted[blank_end] carefully​
    - Takes [blank_start]5 - 6 days[blank_end] to reach steady state and thereafter may still need dose adjusting​
    - Common side effects include a [blank_start]dry[blank_end] mouth, constipation, [blank_start]drowsiness, dizziness, nausea, vomiting,[blank_end] dental problems..​
    1. Asynthetic
    2. BB3
    3. C15 – 60
    4. Dadjusted
    5. E5 - 6 days
    6. Fdry
    7. Gdrowsiness, dizziness, nausea, vomiting,
  3. 3Methadone is the fifth most dispensed drug.
    1. ARichtig
    2. BFalsch
  4. 4Misuse of Drugs Act 1975 Section 24​:
    Who can rx methadone:
    - Prescribers in an authorised methadone maintenance treatment clinic (e.g. Specialist Addiction Services SAS)​
    - Individual GPs authorised in [blank_start]writing[blank_end] by a specific prescriber in a gazetted treatment service
    - Emergency treatment for dependence in [blank_start]hospital[blank_end] and not exceeding [blank_start]3 days[blank_end]​
    1. Awriting
    2. Bhospital
    3. C3 days
  5. 5When dispensing methadone, it needs to be prescribed on a Controlled drug H572/H572M prescription form.​
    1. ARichtig
    2. BFalsch
  6. 6It is recommended that methadone be kept in a locked safe at all times, but not required.
    1. ARichtig
    2. BFalsch
  7. 7[blank_start]Suboxone[blank_end] - a combination of buprenorphine and naloxone​. Class [blank_start]C4[blank_end] Controlled Drug​.
    Buprenorphine is an [blank_start]agoinist at 2 opioid receptors[blank_end]: µ (mu) opioid receptor partial agonist, and (kappa) opioid receptor antagonist.
    Naloxone is an [blank_start]antagonist at opioid receptors[blank_end]:t µ (mu), δ (delta) and ĸ (kappa) opioid receptors​
    Naloxone is a deterrent.

    - Does not -need- [blank_start]triplicate[blank_end] form (unlike methadone)
    - No Controlled Drugs [blank_start]register[blank_end]​ (unlike methadone)
    - Must be kept in a locked safe at all times​.
    1. AC4
    2. BSuboxone
    3. Cagoinist at 2 opioid receptors
    4. Dantagonist at opioid receptors
    5. Etriplicate
    6. Fregister
  8. 8Suboxone and methodone combo = [blank_start]Biodone[blank_end] ​.
    - 3 strengths – 2mg/ml, 5mg/ml (Forte) ​and 10mg/ml (Extra Forte)​
    - Orange, clear and pink​.
    1. ABiodone
  9. 9Pharmacists’ responsibilities​
    [blank_start]Confidential[blank_end] service reducing stigma​
    Comply with all [blank_start]legislative[blank_end] requirements for OST dispensing, recording and storage of medicines​
    [blank_start]SOP[blank_end] and auditable systems to minimise risk and errors​
    Ensure adequate [blank_start]supervision[blank_end] of the consumption of OST doses​
    Liaise with OST providers on a regular basis​

    When would a pharmacist liase with the OST provider?​
    Missed collecting more than [blank_start]one[blank_end] dose​
    Presented [blank_start]intoxicated[blank_end]​
    Abusive or [blank_start]threatening[blank_end] behaviour​
    Diversion of dose (refers to the [blank_start]selling or exchanging[blank_end] of prescribed opioid substitution medication)​
    [blank_start]Withdrawal[blank_end] symptoms​
    Deteriorates in physical, emotional and mental state (potentially increased injecting behaviour)​
    Pregnant?​
    1. AConfidential
    2. Blegislative
    3. CSOP
    4. Dsupervision
    5. Eone
    6. Fintoxicated
    7. Gthreatening
    8. Hselling or exchanging
    9. IWithdrawal
  10. 10Needle Exchange programme:
    - IVDU is a [blank_start]health[blank_end] issue not criminal
    - Harm reduction; reduce [blank_start]HIV, HEP C[blank_end] disease spread
    - Needle Exchanges do [blank_start]not[blank_end] cause increase drug use​
    1. Ahealth
    2. BHIV, HEP C
    3. Cnot

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Beschreibung
Der Nutzer hat seine Fachbereichs-Information gelöscht. Quiz am PSY13 Opioid Substitution Treatment/Methadone, erstellt von Gelöschter Nutzer am 14/10/2019.
Autor
Gelöschter Nutzer
Sprache
English
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36
Verlauf
Erstellt am 14 Okt 2019 · aktualisiert am 14 Okt 2019
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