1 Flashcards
5 R’s of MI
relevance
risk
rewards
roadblocks
repetition
neonatal abstinence syndrome (from opioids) symptoms
poor feeding
irritability
high pitched cry
vomiting, diarrhea
seizures
treatment for neonatal abstinence syndrome
opioids
or benzos for immediate seizure
how does topiramate affect CYP?
CYP3A4 inducer
MOA varenicline
alpha4 beta 2 nicotonic ach partial agonist
fetal alcohol syndrome symptoms
thin upper lip
behavioral disturbances
growth delay
microcephaly
what should you next do if you suspect FAS?
MRI (high incidence of midline brain anomalies) and genetic testing (r/o other d/o’s)
order the races in the US from highest to lowest prevalance of AUD
- Native americans
- white
- latinx
- black
- asian
is there high or low perceived risk with youth and vaping?
low
anxiety disorder with highest prevalance of AUD
GAD
prevalence of lifetime substance use disorder in people with GAD
50%
whats most common type of cell in the striatum that expresses dopamine
medium spiny neurons
whats the name of the gov agency that prohibits discrimination of any kind?
Rehabilitation Act of 1973
how has prevalance changed for AUD in all racial groups?
increased
Levels of Care
2.1: IOP (6-9 hours/week)
2.5: Partial hospitalization services (20 hours)
3.1: Low intensive residential, detox (lives, support 5 days/week)
3.7: (Residential) -Medically monitored high intensive inpatient services withdrawal management (24/7)
4: Inpatient (medically managed)
normal specific gravity for UDS
1.001-1.030
normal temp for UDS
90-100 degrees F
normal pH for UDS
4.6-8 (book says 3-11)
normal creatinine for UDS
> 20 mg/dL
normal nitrites for UDS
less than 500 μg/mL (50 mg/dL)
Do Physician Health Programs have to report suspected abuse to licensing boards?
no
gene involved in respiratory depression in europeans who misuse codeine
CYP2D6
lifetime risk of becoming dependent on cannabis
9%
specific metabolite for heroin
6-MAM
first line for treatment of nicotine use disorder during pregnancy
psychological and behavioral interventions
CAGE questions
C: Have you ever felt you should cut down on your drinking?
A: Have people annoyed you by criticizing your drinking?
G: Have you ever felt bad or guilty about your drinking?
E: Have you ever had a drink first thing in the morning to steady your nerves or get rid of a hangover?
probability of becoming dependent on cocaine after one use
17%
probability of becoming dependent on meth after one use
11%
current marijuana class schedule
I
