Substance misuse Flashcards

(11 cards)

1
Q

What is the antidote for benzodiazepine overdose?

A

Flumazenil

Benzodiazepine overdose causes CNS and respiratory depression.

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2
Q

What is the primary treatment for ecstasy (MDMA) intoxication?

A

Supportive management

This includes addressing complications like hyperthermia and agitation.

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3
Q

What is the first-line pharmacological treatment for opioid dependence?

A

Methadone

It is used in patients engaging with structured services and able to adhere to supervised consumption.

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4
Q

What urgent treatment is required for cocaine-induced hyperthermia?

A

IV benzodiazepines

This is necessary to control agitation and muscle activity.

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5
Q

How does methadone function in treating opioid dependence?

A

It acts on opioid receptors

Methadone is a synthetic opioid agonist that eliminates withdrawal symptoms and relieves drug cravings.

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6
Q

A young woman presenting with insomnia and increased heart rate may have used illicit ________.

A

Methylphenidate

This substance is often used to improve concentration.

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7
Q

What is the recommended treatment for opiate overdose?

A

Small boluses of naloxone

This reverses respiratory depression while ensuring adequate pain management.

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8
Q

What should a patient with suspected alcohol intoxication undergo in the Emergency Department?

A

Blood glucose measurement

This is to rule out hypoglycaemia as a potential complication.

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9
Q

What symptoms can mania present with?

A
  • Grandiose delusions
  • Elated mood
  • High energy levels
  • Hallucinations

Mania can include psychotic symptoms.

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10
Q

What symptoms can opioid withdrawal present with?

A
  • Gastrointestinal symptoms
  • Tachycardia
  • Hypertension
  • CNS stimulation

These symptoms indicate withdrawal from opioids.

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11
Q

In acute opiate withdrawal, what is not advised?

A

Prescription of opiates

Instead, symptomatic relief can be provided through loperamide for diarrhoea or lofexidine for physical symptoms.

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