Mer Scott
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PHCY320 (Psychiatry) Quiz sobre PSY13 Opioid Substitution Treatment/Methadone, criado por Mer Scott em 14-10-2019.

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Mer Scott
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PSY13 Opioid Substitution Treatment/Methadone

Questão 1 de 10

1

Aims of OST​ - Opioid Substitution Treatment (OST) (formerly known as: Methadone Maintenance Treatment (MMT) ​
-reduce or cease opioid use​
- reduce risk of transmitted by injecting​
- reduce risk of
- reduce rates of substance-related
- support the client, family and whānau through recovery and to support systems​

Arraste e solte para completar o texto.

    illicit
    blood-borne diseases
    overdose
    crime
    access

Explicação

Questão 2 de 10

1

Methadone:
- A opioid agonist​
- In NZ, Controlled Drug class
- Commonly prescribed for moderate to severe pain and treatment of opioid dependence​
- Long elimination half-life of hours has been reported (Medsafe), therefore with repeated administration, doses have to be carefully​
- Takes to reach steady state and thereafter may still need dose adjusting​
- Common side effects include a mouth, constipation, dental problems..​

Arraste e solte para completar o texto.

    synthetic
    B3
    15 – 60
    adjusted
    5 - 6 days
    dry
    drowsiness, dizziness, nausea, vomiting,

Explicação

Questão 3 de 10

1

Methadone is the fifth most dispensed drug.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 4 de 10

1

Misuse 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 by a specific prescriber in a gazetted treatment service
- Emergency treatment for dependence in and not exceeding

Arraste e solte para completar o texto.

    writing
    hospital
    3 days

Explicação

Questão 5 de 10

1

When dispensing methadone, it needs to be prescribed on a Controlled drug H572/H572M prescription form.​

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 6 de 10

1

It is recommended that methadone be kept in a locked safe at all times, but not required.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 7 de 10

1

- a combination of buprenorphine and naloxone​. Class Controlled Drug​.
Buprenorphine is an : µ (mu) opioid receptor partial agonist, and (kappa) opioid receptor antagonist.
Naloxone is an :t µ (mu), δ (delta) and ĸ (kappa) opioid receptors​
Naloxone is a deterrent.

- Does not -need- form (unlike methadone)
- No Controlled Drugs ​ (unlike methadone)
- Must be kept in a locked safe at all times​.

Arraste e solte para completar o texto.

    C4
    Suboxone
    agoinist at 2 opioid receptors
    antagonist at opioid receptors
    triplicate
    register

Explicação

Questão 8 de 10

1

Suboxone and methodone combo = ​.
- 3 strengths – 2mg/ml, 5mg/ml (Forte) ​and 10mg/ml (Extra Forte)​
- Orange, clear and pink​.

Arraste e solte para completar o texto.

    Biodone

Explicação

Questão 9 de 10

1

Pharmacists’ responsibilities​
service reducing stigma​
Comply with all requirements for OST dispensing, recording and storage of medicines​
and auditable systems to minimise risk and errors​
Ensure adequate 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 dose​
Presented
Abusive or behaviour​
Diversion of dose (refers to the of prescribed opioid substitution medication)​
symptoms​
Deteriorates in physical, emotional and mental state (potentially increased injecting behaviour)​
Pregnant?​

Arraste e solte para completar o texto.

    Confidential
    legislative
    SOP
    supervision
    one
    intoxicated
    threatening
    selling or exchanging
    Withdrawal

Explicação

Questão 10 de 10

1

Needle Exchange programme:
- IVDU is a issue not criminal
- Harm reduction; reduce disease spread
- Needle Exchanges do cause increase drug use​

Arraste e solte para completar o texto.

    health
    HIV, HEP C
    not

Explicação