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PSYCHIATRIC > ADDICTION > Flashcards

ADDICTION Flashcards

1
Q

Cannabis Use

A

N in pt who take chemotherapy, increase appetite in AIDS pts

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2
Q

Cannabis- Intoxication

A

heightened sensation, time moves slower, red eyes, increased appetite, CM, tacky cardia

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3
Q

Cannabis- Withdrawal

A

1 week after cessation
Sx- restlessness, irritability, insomnia, sweating, fever, chills, HA, abdominal pain

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4
Q

Hallucinogen- Intoxication

A

paranoia, impaired judgment, hallucination
Physical- dilate pupil, tachycardia, sweating, tremors, palpations

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5
Q

Hallucinogen- Tx

A

talking person down
Antipsychotics- haloperidol
benzo- diazapam

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6
Q

Phencyclidine- Intoxication

A

MEDICAL EMERGENCY
assertive, belligerent, unpredictable
Physical- nystagmus, HTN, tachycardia, ataxia, muscle fidgety, seizure, coma

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7
Q

Phencyclidine- Tx

A

CANNOT be talked down
benzo

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8
Q

Hallucinogen- Withdrawal

A

no official withdrawal

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9
Q

Ihalent- Intoxication

A

small dose- euphoria
large dose- hallucination illusion, distorted body image
physical- N, anorexia, nystagmus, diplopia

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10
Q

Inhalent- Tx

A

self-limiting
haloperidol- manage agitation

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11
Q

opioid- Intoxication

A

psychomotor retardation, drowsy, RR depression, slurred speech
physical- pinpoint pupils, decreased bowel sounds, reduced RR & BP

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12
Q

Opioid- Overdose

A

death- RR arrest
sx- unresponsive, slow respiration, hypothermia, TN, bradycardia
3 signs- coma, pinpoint pupil, RR depression

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13
Q

Opioid- Overdose Tx

A

Naloxone- Narcan

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14
Q

Opioid- Withdrawal

A

N. V, D, sweating fever, insomnia, watery eyes, runny nose, pupillary dilation
males- spontaneous ejaculation

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15
Q

Opioid- Withdrawal Tx

A

Methadone- decrease painful sx–> block euphoric effects of opioids
Clonidine- reduce sx of opioid withdrawal–> eases sweating, hot flashes, restlessness
Buprenorphine- help reduce or quit opioid

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16
Q

Opioid- Maintenance

A

Buprenorphine, naloxone, methadone- reduce cravings
Naltrexone- prevents intoxication

17
Q

Buprenorphine

A

produces effects such as euphoria
used only after abstaining from opioids 12-24 hours

18
Q

Naltrexone

A

prevents intoxication, prevents the activation of opioid receptors and prevents reward feeling

19
Q

Sedative, Hypnotic, & Anxiety Use Disorders- Intoxication

A

slurred speech, incoordination, unsteady gait, nystagmus

20
Q

Sedative, Hypnotic, & Anxiety Use Disorders- Overdose Tx

A

gastric lavage, activated charcoal
keep awake to prevent loss of unconsciousness

21
Q

Sedative, Hypnotic, & Anxiety Use Disorders- Withdrawal

A

rebound hyperactivity
sx- hyperactivity, tremors, insomnia, agitation, anxiety

22
Q

Sedative, Hypnotic, & Anxiety Use Disorders- Withdrawal Tx

A

gradual reduction of benzodiazepines

23
Q

Stimulant Disorder- Intoxication

A

euphoric, sociable, sensitive, tense, angry
physical- chest pain, high/low BP, tachycardia/bradycardia, respiratory depression, chills, dilated pupils, sweating, N, V, agitation

24
Q

Stimulant Disorder- Withdrawal

A

tiredness, vivid nightmares, increased appetite , insomnia

25
Q

Stimulant Disorder- Tx

A

antipsychotics
no psychosis- diazepam
depression

26
Q

Tobacco- Withdrawal

A

irritability, anxiety, depression, restlessness, insomnia

27
Q

Tobacco- Withdrawal Tx

A

Bupropion- reduce the craving withdrawal sx
Varenicline- mimics the effects of nicotine, reducing cravings

28
Q

Alcohol- Disulfiram

A

blocks ETOH pathway, prevent from breaking down
maintenance, relapse
avoid ALL alcohol

29
Q

Disulfiram SE when alcohol is used

A

N, V, sweating, flushed skin

30
Q

Alcohol- Naltrexone

A

takes place of the “reward” receptor but doesn’t activate it

31
Q

Naltrexone use

A

alcohol withdrawal and relapse prevention, decrease pleasure and craving

PSYCHIATRIC (5 decks)

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