new_n_lost
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A 35-year-old man with a history of opioid abuse is admitted to hospital after a road traffic accident in which he fractures his femur. He becomes unwell and you are asked to assess him on the ward. Which one of the following features would NOT be compatible with a diagnosis of an Opioid Withdrawal Reaction?
A: Nausea / vomiting
B: Hypothermia
C: Lacrimation
D: Yawning
E: Diarrhea.
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| me007
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b.
flu-like symptoms with muscle ache, rhinorhea and fever, pupil dilation, diarrhea, yawning
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| mms
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Aren't they all part of the opioid withdrawal symptoms?
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| mms
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gooseflesh (piloerection) and chills are also part of the symptoms
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| new_n_lost
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Right On Me007 Absolutely Right
MMS ............ Hypothermia is not a Presentation of Opioid Withdrawal Syndrome.
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| new_n_lost
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Answer: B)
Symptoms of opioid withdrawal include dysphoric mood, yawning, insomnia, muscle aches, lacrimation / rhinorrhea, papillary dilatation, piloerection, fever, sweating, nausea / vomiting, diarrhea.
If the patient is having an opioid withdrawal reaction, then give 10 mg of methadone syrup and wait about 60 min to determine its effect.
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| new_n_lost
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Signs and symptoms of opioid withdrawal syndrome include
• Yawning
• Sweating
• Tearing of the eyes
• Runny nose
• Abdominal cramps
• Nausea and/or vomiting
• Diarrhea
• Weakness
• Dilated pupils
• Goose bumps
• Muscle twitching and muscle aches and pains
• Anxiety
• Insomnia
• Increased pulse
• Increased respiratory rate
• Elevated blood pressure
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FORUM RULES-- Those who believe in telekinesis, raise my hand. I get enough exercise just by pushing my luck --P4U World.." The pure and simple truth is rarely pure and never simple."
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| mms
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 thanks
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