12 Flashcards
disulfiram reaction symptoms
nausea, vomiting
headache
flushing, sweating
tachycardia, chest pain
vertigo
blurred vision
how long does disulfiram reaction last?
immediately and then up to 2 hours (however long alcohol still in system)
half life of disulfirm
60-120 hours
3 benzos with shortest half life
triazolam
midazolam
brotizolam
can patients on warfarin do outpatient detox?
no, should do inpatient (bleeding risk with falls from benzos)
Old ASAM criteria 6 dimensions
1: Intoxication and withdrawal
2: Biomedical conditions
3. Emotional, behavioral, cog conditions
4: Readiness to change
5. Relapse potentail
6. Living environment
newborn with lethargy, hypotonia, sucking difficulty, loss of cardiac beat to beat variability means mother used what?
diazepam
duration of inhaled marijuana
2-4 hours
what percent of americans misuse prescription opioids?
6%
can meth induced psychosis be months?
yes
percent of stimulant diversion amongst highschoolers
5-10%
does light sensitivity happen in cocaine intoxication?
yes - dilated pupils
what is the name of the validated instrument for adults with SUDs and eating disorders?
Yale Food Addiction Scale (YFAS)
COMBINE study gist
Assess varying combinations of naltrexone po, acamprosate, behavioral intervention, and med mgmt
- all groups improved abstinent days
- naltrexone + med mgmt was best
- acamprosate not better than placebo
barbiturate affect on CYP 450 system
inducers
do you legally need patient’s consent for UDS?
no but it builds trust and helps the patient acknowledge the problem!
is gateway theory for using harder drugs real?
mixed empirical evidence
demographic risk factors of cocaine use
men
urban
15-35 y/o
men or women more likely to become alcohol dependent?
men
Ofloxacin causes false positive for
opioids and amphetamines
marijuana mostly eliminated by
feces
severity levels for bulimia based on frequency per week. What are those frequencies per each level?
mild: 1-3
moderate: 4-7
severe: 8-13
extreme: >14
if patient does not consent to an independent medical examination by an insurance company, do they have to proceed anyway?
no, only if court ordered
