Here "Jerusalem" represents the people who live there. Yahweh speaks to the people of Jerusalem as if they were there listening to him. AT: "Awake, awake, stand up, you people of Jerusalem" (See: [[rc://en/ta/man/translate/figs-metonymy]] and [[rc://en/ta/man/translate/figs-apostrophe]])
"Be alert and arise." The repetition of the word "awake" emphasizes the urgency of the call to arouse the people of Israel. It is not used to wake them from literal sleep.
Yahweh speaks of having punished his people as if he had forced them to drink from a bowl that was filled with his anger. And when they drank from the bowl of his anger, they staggered as if they had drank a lot of wine. (See: [[rc://en/ta/man/translate/figs-metaphor]])
The word "dregs" means the solid pieces at the very bottom of a container that has a liquid in it. AT: "down to the very bottom"
# out of the hand of Yahweh
Here Yahweh is referred to by his hand to emphasize that he is the one who gave the bowl to his people. AT: "that he gave to you" (See: [[rc://en/ta/man/translate/figs-synecdoche]])
# from the cup of staggering
"from the cup that caused you to stagger as if you were drunk on wine"