Harm Reduction & Overdose Prevention Flashcards

Someone is overdosing, and the only naloxone available is past its expiration date. What should a responder do?

Answer: Use it—expired naloxone may still work and is better than nothing—while calling 911

Studies show naloxone often keeps much of its potency after expiration, so if nothing else is available, using it is recommended.

Which response best describes how to handle an overdose in someone who is pregnant?

Answer: Give naloxone and call 911, since keeping the parent breathing protects the fetus too

Naloxone should be given during pregnancy in an overdose, because the parent's oxygen supply is critical for both parent and fetus.

Why do overdoses involving methadone need longer monitoring after naloxone is given?

Answer: Methadone acts for a long time, so the overdose can return hours after naloxone wears off

Methadone's long half-life means sedation and breathing problems can come back after naloxone's shorter effect fades.

Which statement about naloxone is accurate?

Answer: It has no effect on a person who has no opioids in their system

Naloxone is an opioid antagonist with no psychoactive effect when opioids are absent, so it is safe to give if overdose is suspected.

A participant who injects drugs has a wound that will not heal. What is the most appropriate peer action?

Answer: Encourage wound care and connect them to medical services, possibly through an SSP clinic

Wounds linked to injection drug use, especially with xylazine, can become severe, so linking the person to medical care without judgment is key.

Which practice lowers the risk of HIV and hepatitis C for people who inject drugs?

Answer: Using a new sterile syringe and equipment every time

Sterile, single-use syringes and supplies (cookers, cottons, water) prevent bloodborne infections from spreading.

What is the main purpose of a 'leave-behind' naloxone program, where EMS or outreach staff leave a kit after responding?

Answer: To put naloxone in the hands of people and families most likely to see a future overdose

People who have already had an overdose, and those around them, are at high risk, so leaving naloxone with them saves lives later.