Pharmacy.uconn.edu



Law: More Anxiety over Drug Overdose Deaths: Impact of BenzodiazepinesLearning Objectives:After completing this activity, pharmacy technicians should be able to:Identify the leading causes of drug overdose fatalities.Describe the development and effects of the pare the risks of opioid and benzodiazepine overdose and their co-involvement.Identify the factors associated with benzodiazepine abuse.Characterize the approaches to reducing benzodiazepine overprescribing and toxicity. 1. Which of the following is INCORRECT regarding drug overdose deaths?Overdose deaths exceeded 70,000 in 2017.Drug overdose deaths are the leading cause of accidental deaths in the U.S.Overdose deaths reached a peak in 2010 and have been declining since then.2. The drug(s) currently most responsible for overdose deaths is/are:Prescription opioidsFentanyl Cocaine3. How many benzodiazepines appear in the list of top 15 drugs associated with overdose deaths?ZeroOneThree4. Which benzodiazepine is most commonly associated with overdose deaths?DiazepamClonazepamAlprazolam5. Which drug was the first benzodiazepine to be marketed in the U.S.?ChlordiazepoxideFlunitrazepamOxazepam6. When a patient co-ingests an opioid and benzodiazepine, what is the greatest risk?Cardiac arrestRespiratory failureKidney damage7. How frequently is overdose death from an opioid associated with benzodiazepine co-ingestion?Rarely15% of cases30% of cases8. Which statement about drug overdose is INCORRECT?A. Benzodiazepines are rarely a cause of overdose deaths by themselves.B. Polydrug abuse has become the leading cause of overdose deaths.C. Elderly patients are at a comparatively low risk for benzodiazepine overdose.9. Which of the following might be a “red flag” indicating you may need to alert the pharmacist?A patient has a new prescription for a benzodiazepine and says that she plans to take it only when she absolutely needs it.A patient asks to fill a benzodiazepine prescription a few days early and pay cash for the third time.A patient is purchasing OTC ibuprofen and several complementary and alternative products with his benzodiazepine.10. Which of the following would NOT be expected in a patient taking a large dose of a benzodiazepine?Slurred speechImpaired motor coordinationLiver damage11. Addicts often combine benzodiazepines with opioids intentionally. Why?Enhance the narcotic “high”Prevent the seizures which might occur during opioid withdrawalReduce the jitteriness caused by high doses of opioids12. Which practice setting has the highest proportion of co-prescribing of opioids and benzodiazepines?Emergency roomsPain ManagementPrimary care13. Which of the following is correct regarding benzodiazepine prescribing? Prescribing rose in the 2000’s, but has declined over the past decade due to greater attention to side effects.The quantity of benzodiazepines prescribed has roughly tripled since 1996. Women receive fewer prescriptions for benzodiazepines than men.14. In approximately what percentage of overdose cases due to a combination of a benzodiazepine plus an opioid is there evidence that the benzodiazepine was not prescribed for the victim?Less than 1%7.5 – 10%20 %15. How has benzodiazepine co-involvement with opioids in overdose deaths changed during the past two decades?The rate has increased 2-4 fold. It has increased, but at a slower rate than the rise in deaths due to sole use of opioids.It has increased in combination with prescription opioids but the rate of association with fentanyl has remained unchanged.16. The central principles for co-prescribing benzodiazepines and opioids described by the Centers for Medicare and Medicaid Services (CMS) guidelines include the following EXCEPT:Offer alternative approaches for initial treatmentProvide naloxone for high risk patients and caregiversNever use combinations long-term17. Which of the following brand name benzodiazepines has a generic names that does not end in the suffix “–am”?AtivanLibriumRestoril18. Prescribing guidelines generally recommend that benzodiazepines be used for a maximum of:Two to four weeks30 daysSix months19. Which of the following statements accurately reflects Pennsylvania’s guidelines on safe prescribing for benzodiazepines?A ban on prescribing benzodiazepines to a patient with a past history of substance use disorderCareful monitoring, including urine testing, on patients receiving benzodiazepines who have a history of substance use disorderLimiting benzodiazepine and opioid co-prescribing to pain clinics and certified pain management specialists20. What has the FDA done regarding the dangers of co-prescribing benzodiazepines and opioids?Issued a “boxed” warning on the dangers of co-prescribingRequested that the DEA change the benzodiazepine’s scheduling to Schedule IIRecommended special continuing education programs on drug abuse for physicians ................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download