Podcast
Questions and Answers
Which of these is NOT a characteristic of Substance Use Disorder?
Which of these is NOT a characteristic of Substance Use Disorder?
- Cravings and a tendency to relapse after efforts to change behaviour
- Loss of control of substance consumption
- Continued substance use despite associated problems
- Increased sensitivity to the substance over time (correct)
Which of the following is NOT a contributing factor to the opioid crisis in Canada?
Which of the following is NOT a contributing factor to the opioid crisis in Canada?
- Increased availability of naloxone (correct)
- Illegal drugs laced with fentanyl and its analogues
- Misunderstanding of the addictive risk of prescription opioids
- Lack of access to prescription opioids leading to illicit opioid use
Which of these is NOT a psychological or social risk factor for addiction?
Which of these is NOT a psychological or social risk factor for addiction?
- Mental health
- Genetics (correct)
- Early life experiences
- Trauma
Which of these principles is NOT associated with the Harm Reduction Model?
Which of these principles is NOT associated with the Harm Reduction Model?
What does the term 'Trauma-Informed Care' emphasize?
What does the term 'Trauma-Informed Care' emphasize?
Which of the following is an example of a social determinant of health that can contribute to the opioid crisis?
Which of the following is an example of a social determinant of health that can contribute to the opioid crisis?
Which of these is NOT a factor that contributes to the opioid crisis, as mentioned in the provided content?
Which of these is NOT a factor that contributes to the opioid crisis, as mentioned in the provided content?
The provided content emphasizes the importance of what in addressing the opioid crisis?
The provided content emphasizes the importance of what in addressing the opioid crisis?
What is the primary focus of harm reduction in substance use care?
What is the primary focus of harm reduction in substance use care?
Which principle is NOT associated with harm reduction strategies?
Which principle is NOT associated with harm reduction strategies?
How many opioid toxicity deaths occurred in Canada in 2022?
How many opioid toxicity deaths occurred in Canada in 2022?
What aspect does trauma-informed care emphasize in its approach?
What aspect does trauma-informed care emphasize in its approach?
Which of the following is a key component of the harm reduction model?
Which of the following is a key component of the harm reduction model?
Which of the following statements about opioid overdose statistics is accurate?
Which of the following statements about opioid overdose statistics is accurate?
In the context of harm reduction, what is meant by 'evidence-based care'?
In the context of harm reduction, what is meant by 'evidence-based care'?
Which of the following best describes the role of individuals in harm reduction programs?
Which of the following best describes the role of individuals in harm reduction programs?
What percentage of accidental apparent opioid toxicity deaths in Canada occurred in British Columbia, Alberta, or Ontario?
What percentage of accidental apparent opioid toxicity deaths in Canada occurred in British Columbia, Alberta, or Ontario?
Which symptom is NOT typically associated with opioid overdose?
Which symptom is NOT typically associated with opioid overdose?
Which of the following substances can lead to withdrawal symptoms such as yawning, insomnia, and panic?
Which of the following substances can lead to withdrawal symptoms such as yawning, insomnia, and panic?
What is a common public health concern attributed to prescription drug misuse in Canada?
What is a common public health concern attributed to prescription drug misuse in Canada?
Which of the following is NOT a recommendation area outlined in the 10-year pan-Canadian strategy report?
Which of the following is NOT a recommendation area outlined in the 10-year pan-Canadian strategy report?
What type of program is aimed at reducing the demand for substance use?
What type of program is aimed at reducing the demand for substance use?
Which withdrawal treatment is typically used for opioid dependency?
Which withdrawal treatment is typically used for opioid dependency?
Which symptom is likely to be present during stimulant intoxication?
Which symptom is likely to be present during stimulant intoxication?
What best defines substance dependence?
What best defines substance dependence?
Which of the following elements are necessary to classify a condition as an addiction?
Which of the following elements are necessary to classify a condition as an addiction?
What is the key difference between an addiction and compulsive behavior?
What is the key difference between an addiction and compulsive behavior?
What does tolerance refer to in the context of substance use?
What does tolerance refer to in the context of substance use?
What is meant by withdrawal symptoms?
What is meant by withdrawal symptoms?
Which of the following is a key risk factor for addiction?
Which of the following is a key risk factor for addiction?
How does the Harm Reduction Model view substance use?
How does the Harm Reduction Model view substance use?
What does the term 'substance abuse' imply?
What does the term 'substance abuse' imply?
A patient presents with symptoms of opioid withdrawal. Which of the following treatment strategies aligns with the secondary prevention level of care for substance use disorders?
A patient presents with symptoms of opioid withdrawal. Which of the following treatment strategies aligns with the secondary prevention level of care for substance use disorders?
A nurse is working with a patient struggling with substance use disorder. Which of the following statements reflects the principles of trauma-informed care?
A nurse is working with a patient struggling with substance use disorder. Which of the following statements reflects the principles of trauma-informed care?
Which of the following is NOT a risk factor for substance use disorder?
Which of the following is NOT a risk factor for substance use disorder?
A patient is seeking treatment for opioid addiction. Which of the following tertiary prevention interventions is likely to be recommended?
A patient is seeking treatment for opioid addiction. Which of the following tertiary prevention interventions is likely to be recommended?
A community health nurse is working to address the opioid crisis. Which of the following interventions aligns with the harm reduction model?
A community health nurse is working to address the opioid crisis. Which of the following interventions aligns with the harm reduction model?
A patient experiencing opioid withdrawal symptoms expresses a desire to stop using drugs. Which of the following interventions would be MOST appropriate for the nurse to recommend?
A patient experiencing opioid withdrawal symptoms expresses a desire to stop using drugs. Which of the following interventions would be MOST appropriate for the nurse to recommend?
A community health nurse is educating the public about substance use disorders. Which of the following statements BEST describes the concept of tolerance?
A community health nurse is educating the public about substance use disorders. Which of the following statements BEST describes the concept of tolerance?
A nurse is working with a patient who has been diagnosed with a substance use disorder. Which of the following is a PRIMARY goal of primary prevention for substance use?
A nurse is working with a patient who has been diagnosed with a substance use disorder. Which of the following is a PRIMARY goal of primary prevention for substance use?
Which of the following is a common symptom of opioid intoxication?
Which of the following is a common symptom of opioid intoxication?
Which of the following is a symptom of opioid withdrawal?
Which of the following is a symptom of opioid withdrawal?
Which of the following is a common symptom of stimulant intoxication?
Which of the following is a common symptom of stimulant intoxication?
Which of the following is a symptom of stimulant withdrawal?
Which of the following is a symptom of stimulant withdrawal?
Which of the following is a risk factor for opioid overdose?
Which of the following is a risk factor for opioid overdose?
Which of the following is a common sign of opioid overdose?
Which of the following is a common sign of opioid overdose?
Which of the following is NOT a characteristic of Substance Use Disorder?
Which of the following is NOT a characteristic of Substance Use Disorder?
Which of the following is a common symptom of depressant intoxication?
Which of the following is a common symptom of depressant intoxication?
A patient presents with dilated pupils, increased heart rate, and agitation. They report feeling energetic and talkative. What substance is the patient likely intoxicated with?
A patient presents with dilated pupils, increased heart rate, and agitation. They report feeling energetic and talkative. What substance is the patient likely intoxicated with?
Which of the following is NOT a typical symptom of opioid overdose?
Which of the following is NOT a typical symptom of opioid overdose?
A patient is experiencing tremors, sweating, nausea, and muscle cramps. They report feeling restless and anxious. What substance is the patient likely withdrawing from?
A patient is experiencing tremors, sweating, nausea, and muscle cramps. They report feeling restless and anxious. What substance is the patient likely withdrawing from?
A patient presents with slurred speech, unsteady gait, and impaired judgment. They report feeling drowsy and confused. What substance is the patient likely intoxicated with?
A patient presents with slurred speech, unsteady gait, and impaired judgment. They report feeling drowsy and confused. What substance is the patient likely intoxicated with?
Which of the following symptoms is commonly associated with stimulant overdose?
Which of the following symptoms is commonly associated with stimulant overdose?
A patient presents with drowsiness, confusion, and impaired coordination. They report feeling relaxed and sleepy. What substance is the patient likely intoxicated with?
A patient presents with drowsiness, confusion, and impaired coordination. They report feeling relaxed and sleepy. What substance is the patient likely intoxicated with?
Which of the following is a common symptom of withdrawal from depressants?
Which of the following is a common symptom of withdrawal from depressants?
A patient is experiencing rapid heartbeat, sweating, and dilated pupils. They report feeling restless and agitated. What substance is the patient likely withdrawing from?
A patient is experiencing rapid heartbeat, sweating, and dilated pupils. They report feeling restless and agitated. What substance is the patient likely withdrawing from?
Which of the following symptoms is typically associated with opioid overdose?
Which of the following symptoms is typically associated with opioid overdose?
What is a common withdrawal symptom for someone dependent on opioids?
What is a common withdrawal symptom for someone dependent on opioids?
What is a key characteristic of stimulant intoxication?
What is a key characteristic of stimulant intoxication?
In the context of depressant overdose, which of the following treatments is appropriate?
In the context of depressant overdose, which of the following treatments is appropriate?
Which symptom is typically NOT associated with opioid intoxication?
Which symptom is typically NOT associated with opioid intoxication?
For someone experiencing withdrawal from stimulants, what kind of treatment is commonly recommended?
For someone experiencing withdrawal from stimulants, what kind of treatment is commonly recommended?
What is an effect of severe depressant intoxication?
What is an effect of severe depressant intoxication?
Which of the following scenarios indicates opioid withdrawal?
Which of the following scenarios indicates opioid withdrawal?
Which of the following is a common symptom of opioid intoxication?
Which of the following is a common symptom of opioid intoxication?
What is a key characteristic of opioid overdose?
What is a key characteristic of opioid overdose?
Which of the following is a common symptom of opioid withdrawal?
Which of the following is a common symptom of opioid withdrawal?
Which of the following is a symptom commonly associated with stimulant intoxication?
Which of the following is a symptom commonly associated with stimulant intoxication?
Which of the following is a characteristic of stimulant overdose?
Which of the following is a characteristic of stimulant overdose?
Which of the following is a common symptom of stimulant withdrawal?
Which of the following is a common symptom of stimulant withdrawal?
Which of the following is a characteristic of depressant intoxication?
Which of the following is a characteristic of depressant intoxication?
What is a key symptom of depressant overdose?
What is a key symptom of depressant overdose?
Study Notes
Opioid Toxicity and Deaths in Canada
- 87% of accidental opioid toxicity deaths in Canada occurred in British Columbia, Alberta, and Ontario.
- In 2022, 78% of accidental stimulant toxicity deaths involved an opioid; 81% of those involved fentanyl.
- There were 5,360 apparent opioid toxicity deaths in Canada in 2022, approximately 20 deaths per day, up from 10 per day in 2019.
Signs of Opioid Overdose
- Inability to wake or respond to pain indicates overdose risk.
- Breathing may cease entirely or occur at a very slow rate.
- Bluish discoloration may appear on lips, fingertips, or gums.
- Unusual gurgling or snoring sounds can suggest respiratory distress.
- Pupils may appear very small (constricted).
Naloxone
- Naloxone temporarily reverses effects of opioid overdose, allowing time for emergency assistance.
Other Therapeutic Approaches
- Treatment options include psychotherapy, social work, clinical therapy, and housing support.
- Collaborative care involving social service workers and psychiatrists is crucial.
Prescription Drug Misuse in Canada
- Prescription drug misuse is a leading public health concern in Canada.
- Canada ranks as the second-largest consumer of opioids globally, with some First Nations communities declaring it a crisis.
Intoxication and Withdrawal Symptoms
-
Opioids:
- Intoxication symptoms: constricted pupils, drowsiness, respiratory depression, slurred speech.
- Withdrawal symptoms: yawning, insomnia, runny nose, cramps, nausea, diarrhea.
-
Depressants (e.g., Alcohol, Benzodiazepines):
- Intoxication symptoms: slurred speech, drowsiness, decreased blood pressure.
- Withdrawal symptoms: tachycardia, irritability, Grand Mal seizures.
-
Stimulants (e.g., Cocaine, Meth):
- Intoxication symptoms: tachycardia, elevated blood pressure, euphoria, hallucinations.
- Withdrawal symptoms: fatigue, depression, cravings.
Harm Reduction in Canada
- Harm reduction acknowledges individuals' rights to make choices about their health.
- Focuses on promoting safety and offers non-judgmental support for substance use.
- Aims to prevent fatalities and disabilities by supporting safer usage practices.
Canadian Center on Substance Abuse Strategy
- A 10-year strategy with 58 recommendations covering prevention, education, treatment, monitoring, and enforcement.
Levels of Prevention
- Primary: Reduces demand and occurrence of substance abuse (e.g., prescription monitoring, safe disposal).
- Secondary: Limits further health deterioration and social harm through harm reduction practices.
- Tertiary: Mitigates impacts of addiction, including detox and rehabilitation programs.
Addiction and Substance Use Disorder
- Substance use disorder is marked by loss of control, continued use despite problems, and cravings.
- Key distinguishing factors between addiction and compulsive behavior include biological elements.
Key Terms
- Substance Abuse: Maladaptive use leading to significant distress.
- Substance Dependence: Dependency with psychological and physical symptoms.
- Tolerance: Increased amounts required to achieve effects due to adaptation.
- Withdrawal: Symptoms resulting from insufficient substance intake after periods of use.
Practice Questions
- Discuss tolerance and dependence exhibited in substance abuse contexts.
- Prioritize nursing outcomes for patients with a history of drug misuse and co-occurring mental health issues.
Debate Topics
- Discuss the funding of methadone treatment and establishment of safe injection sites as viable health strategies.
Opioid Toxicity and Deaths in Canada
- 87% of accidental opioid toxicity deaths in Canada occurred in British Columbia, Alberta, and Ontario.
- In 2022, 78% of accidental stimulant toxicity deaths involved an opioid; 81% of those involved fentanyl.
- There were 5,360 apparent opioid toxicity deaths in Canada in 2022, approximately 20 deaths per day, up from 10 per day in 2019.
Signs of Opioid Overdose
- Inability to wake or respond to pain indicates overdose risk.
- Breathing may cease entirely or occur at a very slow rate.
- Bluish discoloration may appear on lips, fingertips, or gums.
- Unusual gurgling or snoring sounds can suggest respiratory distress.
- Pupils may appear very small (constricted).
Naloxone
- Naloxone temporarily reverses effects of opioid overdose, allowing time for emergency assistance.
Other Therapeutic Approaches
- Treatment options include psychotherapy, social work, clinical therapy, and housing support.
- Collaborative care involving social service workers and psychiatrists is crucial.
Prescription Drug Misuse in Canada
- Prescription drug misuse is a leading public health concern in Canada.
- Canada ranks as the second-largest consumer of opioids globally, with some First Nations communities declaring it a crisis.
Intoxication and Withdrawal Symptoms
-
Opioids:
- Intoxication symptoms: constricted pupils, drowsiness, respiratory depression, slurred speech.
- Withdrawal symptoms: yawning, insomnia, runny nose, cramps, nausea, diarrhea.
-
Depressants (e.g., Alcohol, Benzodiazepines):
- Intoxication symptoms: slurred speech, drowsiness, decreased blood pressure.
- Withdrawal symptoms: tachycardia, irritability, Grand Mal seizures.
-
Stimulants (e.g., Cocaine, Meth):
- Intoxication symptoms: tachycardia, elevated blood pressure, euphoria, hallucinations.
- Withdrawal symptoms: fatigue, depression, cravings.
Harm Reduction in Canada
- Harm reduction acknowledges individuals' rights to make choices about their health.
- Focuses on promoting safety and offers non-judgmental support for substance use.
- Aims to prevent fatalities and disabilities by supporting safer usage practices.
Canadian Center on Substance Abuse Strategy
- A 10-year strategy with 58 recommendations covering prevention, education, treatment, monitoring, and enforcement.
Levels of Prevention
- Primary: Reduces demand and occurrence of substance abuse (e.g., prescription monitoring, safe disposal).
- Secondary: Limits further health deterioration and social harm through harm reduction practices.
- Tertiary: Mitigates impacts of addiction, including detox and rehabilitation programs.
Addiction and Substance Use Disorder
- Substance use disorder is marked by loss of control, continued use despite problems, and cravings.
- Key distinguishing factors between addiction and compulsive behavior include biological elements.
Key Terms
- Substance Abuse: Maladaptive use leading to significant distress.
- Substance Dependence: Dependency with psychological and physical symptoms.
- Tolerance: Increased amounts required to achieve effects due to adaptation.
- Withdrawal: Symptoms resulting from insufficient substance intake after periods of use.
Practice Questions
- Discuss tolerance and dependence exhibited in substance abuse contexts.
- Prioritize nursing outcomes for patients with a history of drug misuse and co-occurring mental health issues.
Debate Topics
- Discuss the funding of methadone treatment and establishment of safe injection sites as viable health strategies.
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Description
This quiz covers the signs and symptoms of opioid overdose, including accidental toxicity deaths in Canada, and the role of naloxone in response. Learn how to identify overdose and take action.
