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COMAT - Psych > Addiction > Flashcards

Addiction Flashcards

1
Q

What are the 5 stages of change?

A
  1. Pre-contemplative (denial)
  2. Contemplative (accepted)
  3. Preparation (first steps)
  4. Action
  5. Maintenance
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2
Q

What are the 5 stages of change?

A
  1. Pre-contemplative
  2. Contemplative
  3. Preparation
  4. Action
  5. Maintenance
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3
Q

What are signs of Alcohol intoxication?

A

Disinhibition
Slurred speech and ataxic gait
N/V, coma

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4
Q

What is the treatment for severe alcohol intoxication?

A

Thiamine FIRST
D50 (glucose/folic acid)

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5
Q

To prevent Wernicke’s Encephalopathy what is the order of treatment?

A

Thiamine
D50 (glucose/folic acid)

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6
Q

Wernicke’s Encephalopathy is reversible. What are the signs?

A

Ataxia
Encephalopathy
Ocular manifestations

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7
Q

Korsakoff’s is irreversible. What is the main sign?

A

Confabulation

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8
Q

For what 2 substances can withdrawal be FATAL?

A

Alcohol
Benzodiazepines

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9
Q

How long after Alcohol/Benzodiazepines withdrawal do symptoms begin to arise?

A

48-72 hours

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10
Q

What are the main withdrawal symptoms from Alcohol/Benzodiazepines?

A

EXCITATION
- Agitation
- Diaphoresis
- Tremor and Seizures

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11
Q

What are the main withdrawal symptoms from Alcohol/Benzodiazepines?

A

EXCITATION
- Agitation
- Diaphoresis
- Tremor and Seizures

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12
Q

Why are withdrawal symptoms from Alcohol/Benzodiazepines excitatory?

A

Alcohol and Benzos increase GABA = inhibition
–> Without GABA = no inhibition = excitation

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13
Q

What clinical score can be used to grade withdrawal from Alcohol/Benzodiazpines?

A

CIWA score

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14
Q

What is the treatment for Alcohol/Benzodiazepines withdrawal?

A

Benzodiazepine taper

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15
Q

What is the treatment for Alcohol/Benzodiazepines withdrawal?

A

Benzodiazepine taper

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16
Q

What specific lab changes may you see with Alcohol Use Disorder?

A

Elevated AST»ALT; High LDH too

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17
Q

What is the best initial treatment for Alcohol Use Disorder?

A

Naltrexone + AA

18
Q

What is the best initial treatment for Alcohol Use Disorder?

A

Naltrexone + AA
- Reduces cravings and can start while still drinking

19
Q

What drug can be used to produce unpleasant reactions to ingested alcohol?

A

Disulfiram

20
Q

What are symptoms of Opiate intoxication?

A

Euphoria
LOW RR and constricted pupils
Track marks
Coma

21
Q

What are symptoms of Opiate intoxication?

A

Euphoria
LOW RR and constricted pupils
Track marks
Coma

22
Q

Opiate intoxication causes diarrhea or constipation?

A

Constipation

23
Q

Best treatment for acute opiate intoxication?

A

Opioid antagonists = Naloxone or Naltrexone

24
Q

What is a treatment option for chronic use of opiates?

A

Methadone – opioid agonist

25
Q

What are symptoms of Opiate withdrawal?

A

Pain all over
Crampy abdominal pain
Lacrimation, yawning, etc.

26
Q

What are the symptoms of Opiate withdrawal?

A

Pain all over
Crampy abdominal pain
Lacrimation, yawning, etc.

27
Q

Constricted pupils points towards intoxication with?

28
Q

Dilated pupils points towards intoxication with?

A

Cocaine
Amphetamines
MDMA

29
Q

What are symptoms of Cocaine intoxication?

A

Psychomotor agitation
Dilated pupils
HTN, HIGH HR
Feeling of bugs crawling on them
ECG changes

30
Q

What are symptoms of Cocaine intoxication?

A

Psychomotor agitation
Dilated pupils
HTN, HIGH HR
Feeling of bugs crawling on them
ECG changes

31
Q

If you are going to treat Cocaine intoxication, what blockers should be used first?

A

Alpha blockers and then Beta blockers

32
Q

What are symptoms of Amphetamine/MDMA intoxication?

A

Psychosis
Dilated pupils
Overheating
Hallucinations

33
Q

What are symptoms of Amphetamine/MDMA intoxication?

A

Psychosis
Dilated pupils
Overheating
Hallucinations

34
Q

What are symptoms of PCP intoxication?

A

VIOLENCE
Exaggerated strength
Horizontal/Vertical NYSTAGMUS

35
Q

What are symptoms of PCP intoxication?

A

VIOLENCE
Exaggerated strength
Horizontal/Vertical NYSTAGMUS

36
Q

With withdrawal from PCP what may be seen?

A

Random outbursts of violence

37
Q

What are symptoms of LSD intoxication?

A

Hallucinations
Flashbacks
Heightened senses

38
Q

What are symptoms of LSD intoxication?

A

Hallucinations
Flashbacks
Heightened senses

39
Q

What are symptoms of Marijuana intoxication?

A

Tired/slow reflexes
Conjunctivitis
Munchies with dry mouth

40
Q

What are symptoms of Marijuana intoxication?

A

Tired/slow reflexes
Conjunctivitis
Munchies with dry mouth

COMAT - Psych (11 decks)

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