How do you approach patients with acute or chronic substance abuse emergencies requiring immediate treatment?

Sample interview questions: How do you approach patients with acute or chronic substance abuse emergencies requiring immediate treatment?

Sample answer:

Approach to Patients with Acute Substance Abuse Emergencies

• Assessment:

  • Conduct a thorough history and physical examination, including:
    • Type and quantity of substance ingested
    • Mode of administration
    • Time of ingestion
    • Associated symptoms
  • Assess vital signs (heart rate, blood pressure, respiratory rate, temperature)
  • Perform toxicology screening if indicated

• Stabilization:

  • Ensure airway patency, breathing, and circulation (ABCs)
  • Administer oxygen as needed
  • Control seizures or agitation with benzodiazepines (e.g., lorazepam)
  • Administer naloxone for opioid overdose
  • Manage fluid and electrolyte imbalances

• Disposition:

  • Consider hospital admission for observation and management if:
    • Patient is unstable
    • Patient has significant co-morbidities
    • Patient lacks a safe place to recover
  • Arrange for detoxification and/or addiction treatment services on an outpatient basis if appropriate

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