I don't have a problem!
One alcoholic drink equals this many oz of beer, wine, and hard liquor.
What is 12 oz of beer, 5 oz of wine, and 1.5 oz of hard liquor?
What is true?
The sexist recommendation for alcohol consumption for men vs women per day/week.
What is 2 drinks per day or 14 per week for men and 1 drink per day or 7 per week for women?
True or False: One administration of narcan is often enough to treat an overdose.
What is false?
This opioid addiction treatment medication can only be prescribed at specific clinics.
What is methadone?
5 side effects of opioid use
What are erectile dysfunction, nausea, constipation, drowsiness, sweating, urinary retention, respiratory suppression, and sleep apnea?
True or false: White people are more likely to be prescribed opioids.
What is true?
These three medications are FDA approved to treat AUD.
Use this dose of this medication if patient showing signs of Wernicke.
What is 500mg of thiamine for 3 days?
Mechanism of action of buprenorphine.
What is a partial mu agonist?
This is where most people start to obtain opioids after their prescription runs out.
What is given by a friend or relative for free?
True or False: Methadone and buprenorphine for OUD treatment treat pain as well when dosed once daily.
This medication is not FDA approved for AUD treatment but can be helpful for the treatment of AUD. However, it is on the PDMP list in some states like Ohio as it can be misused as a street drug known as "Johnny on the Street".
What is gabapentin?
These people might have some GI symptoms with oral naltrexone use.
Who are people with lactose intolerance?
Only absolute contraindication to methadone (other than allergy or lack of consent).
What is QTC over 500?
Risks of taking too many stimulants.
What is cardiovascular incident, hyperthermia, rhabdo, and psychosis?
A patient, who is on buprenorphine for treatment of OUD, comes into the ER after falling and breaking their hip. These two methods are the guideline recommended ways of addressing their OUD and pain.
1. Continue bup daily and then add tylenol/advil along with as needed short term opioids for pain.
2. Continue bup but space it out to multiple times per day along with tylenol/advil.
CIWA protocol can be discontinued under these circumstances in the hospital.
What is patient scoring less than 8 for over 24 hours, after being on CIWA for at least 72 hours?
This dose of buprenorphine should control cravings.
What is 16 mg?
Never go above these initial starting doses when starting buprenorphine or methadone in the inpatient setting.
What is 16 mg for buprenorphine and 40 mg for methadone?
Chronic marijuana use in those under 25 can lower your IQ by up to this amount.
What is 8 points?
These three type of doctors have the highest percentages of AUD.
What are surgeons, anesthesiologists, and ER physicians?
If a patient is requiring medication to prevent withdrawal (for ETOH), this is the percentage that the medication can be decreased per day.
What is 25%?
Patient with OUD has been prescribed buprenorphine and were told to wait to start taking it until they felt really bad (when withdrawal started happening). They waited 3 days then took the buprenorphine when noticing withdrawal symptoms. All of a sudden they felt 10 times worse. They could not escape the bathroom. What medication caused this?
Fentanyl (lipophilic so stays in the system a really long time, can cause withdrawal symptoms even when the patient is already in moderate to intense withdrawal). A specific micro dosing or macro dosing schedule is often required to treat these patients. Patients will also require 90% instead of the usual 80% saturation of their mu receptors which may take up to 32 mg of buprenorphine per day.
This percentage of people relapse after finishing detox for OUD without MAT.
What is 90%?