CRACKCast E162 – Opioids - a podcast by The CanadiEM.org Team

from 2018-03-08T13:00

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Core questions:

  1. List 6 commonly abused opioids (Table 156:1)
  2. Describe the opioid toxidrome (list opioid effects on Neuro, Resp, Ophtho, CV, GI, Derm)
  3. List opioid preparations associated with the following presentations:
  1. Long QTc →
  2. Prolonged QRS →
  3. Seizures →
  4. Hallucinations →)
  5. Sensorineural hearing loss →
  6. Serotonin syndrome →

 

  1. i) What is the dose of narcan? ii) What is the duration of action? iii) How do you administer a narcan infusion?
  2. What opioid overdoses/ingestions need longer than 6 hours of observation?
  3. What is the clinical presentation of opioid withdrawal?
  4. What are risk factors for opioid withdrawal?
  5. List 3 medications effective for opioid withdrawal.
  6. What is the number one killer of people under 50?
  7. What is Suboxone?
  8. How do you do a Suboxone induction?

WiseCracks:

  1. List 5 ddx for opioid intoxication (CNS + resp depression, + miosis).
  2. What opioids don’t cause miosis?
  3. Risk factors for opioid overdose?
  4. What is NAPE? Narcan induced pulmonary edema.
  5. Difference between a “body packer” and “body stuffer”?

Further episodes of CanadiEM Podcasts: CRACKCast, ClerkCast, CarmsCast, First Year Diaries

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